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目的:旨在进一步提高高颈段脊髓肿瘤的疗效。方法:回顾性分析11例高颈段脊髓肿瘤的临床资料。结果:11例均在显微外科条件下全切除肿瘤,随访8个月至4年半,9例生活工作如常,2例自理生活。结论:高颈段脊髓肿瘤,早期诊断困难,对其临床表现须提高认识。MRI为此类肿瘤首选的诊断方法,优于脊髓造影和CT扫描。手术应持积极态度,根据肿瘤的具体位置选用适当的手术入路和手术技巧。显微手术可提高高颈段脊髓肿瘤的治疗效果。
Purpose: To further improve the efficacy of high-grade cervical spinal cord tumors. Methods: Retrospective analysis of 11 cases of high cervical spinal cord tumor clinical data. Results: All 11 cases underwent tumor resection under microsurgical conditions. Follow-up was from 8 months to 4 and a half years. Nine cases were living and working as usual, and 2 cases were living on their own. Conclusion: High cervical spinal cord tumors are difficult to diagnose early and their clinical manifestations must be improved. MRI is the preferred method for the diagnosis of such tumors and is superior to myelography and CT scans. Surgery should take a positive attitude, according to the specific location of the tumor to choose the appropriate surgical approach and surgical skills. Microsurgery can improve the therapeutic effect of high cervical spinal cord tumors.