本文报告了脊髓脂肪瘤5例,占同期椎管内肿瘤的1.5%。发病部位为胸髓(3例)与颈胸髓(2例)。发病时间3～12月,6月以内者4例。5例中3例部分切除,1例活检,1例全部切除。4例获得3～10年随访,3例部分切除者均有明显恢复,1例全部切除者亦有恢复。本文就其发病、诊断及治疗进行了讨论。 This article reports 5 cases of spinal cord lipoma, accounting for 1.5% of spinal tumors in the same period. The incidence of thoracic spinal cord (3 cases) and cervical and thoracic (2 cases). Incidence of 3 to 12 months, less than 6 in 4 cases. Three of the five cases were partially resected, one was biopsy, and one was completely resected. 4 cases were followed up for 3 to 10 years, 3 cases of partial resection were significantly recovered, 1 case of total excision also recovered. This article discusses the incidence, diagnosis and treatment.