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目的探讨椎管内肿瘤的影像学诊断和显微技术治疗,以期提高临床治疗质量。方法回顾性分析2010年11月至2013年2月间收治的55例椎管内肿瘤患者,均采用磁共振成像(MRI)检查,并全部采用手术治疗,观察影像学诊断和手术切除后病理诊断在诊断率上的差异性。结果 MRI诊断椎管内肿瘤和手术病理学总的符合率为84.7%,在神经鞘瘤、脊膜瘤、血管脂肪瘤、蛛网膜囊肿的诊断符合率为100%,而在胶质瘤、室管膜瘤的诊断符合率为87.5%,在星型细胞瘤诊断符合率为75.0%,恶性淋巴瘤符合率为66.7%,肠源性囊肿符合率为80.0%,转移瘤符合率为50.0%。结论 MRI在椎管内治疗的影像学特点有差异性,在临床上可鉴别,治疗以手术切除为主。
Objective To investigate the imaging diagnosis and microsurgical treatment of spinal canal tumor in order to improve the quality of clinical treatment. Methods Retrospective analysis of 55 patients with spinal canal tumors admitted from November 2010 to February 2013 were performed by magnetic resonance imaging (MRI) and all of them were surgically treated to observe the imaging diagnosis and pathological diagnosis after surgical resection The difference in the diagnostic rate. Results The overall coincidence rate of MRI diagnosis of spinal canal and surgical pathology was 84.7%. The diagnostic coincidence rate was 100% in schwannoma, meningiomas, angiolipoma and arachnoid cyst, while in gliomas, The coincidence rate of diagnosis of meningioma was 87.5%. The coincidence rate of diagnosing astrocytoma was 75.0%, the coincidence rate of malignant lymphoma was 66.7%, the coincidence rate of enterogenous cyst was 80.0% and the coincidence rate of metastatic tumor was 50.0%. Conclusion The imaging features of MRI in spinal canal are different. It can be identified clinically and mainly treated by surgery.