脊髓恶性星形细胞瘤罕见,仅占全部脊髓内神经胶质瘤的7.5%.作者1981.7～1987.8为170例患者施行了脊髓髓内星形细胞瘤切除术,病检发现其中19例(11%)为恶性星形细胞瘤(KernohanⅢ级和Ⅳ级),男10例,女9例,年龄1～32岁,平均14岁.肿瘤位于颈髓12例,中胸段2例,园锥5例.症状和体征有疼痛,麻木感觉异常,肿瘤水平以下 Spinal cord malignant astrocytoma is rare, accounting for only 7.5% of all spinal cord gliomas. The authors performed spinal cord intramedullary astrocytoma resection in 170 patients from 1981.7 to 1987.8. Among them, 19 cases (11%) were diagnosed by pathological examination. ) Malignant astrocytomas (Kernohan grade III and IV), 10 males and 9 females, aged 1 to 32 years, mean 14 years old. The tumors were located in 12 cases of cervical cord, 2 cases of middle thoracic and 5 cases of conusial Symptoms and signs of pain, abnormal numbness, below tumor level