目的　本研究根据我科治疗脊髓髓内肿瘤的经验， 对其疗效进行评估。方法　对我科经手术治疗的７１ 例脊髓髓内肿瘤进行回顾性研究， 对肿瘤病理类型、肿瘤部位、临床症状及体征、辅助检查、手术切除程度、临床疗效进行分析。结果　本组室管膜瘤占３９４ ％ ， 星形细胞瘤占２９６ ％ ， 脂肪瘤占１２７ ％ ， 血管母细胞瘤占９９ ％ ， 全组手术全切除率为６２ ％ ， 而室管膜瘤可达９２９ ％ ， 近全切除率为１９７ ％ ， 部分切除或活检率为１８３ ％ ， 手术死亡率为２８ ％ 。结论　对绝大多数脊髓髓内肿瘤应早期诊断早期手术治疗， 如室管膜瘤等多能做到肿瘤全切除， 对恶性肿瘤或切除不完全者应行放射治疗 Objective This study was based on our experience in the treatment of spinal cord intramedullary tumors to assess its efficacy. Methods A retrospective study was performed on 71 cases of spinal intramedullary tumors treated by surgery in our department. The pathological types, tumor location, clinical symptoms and signs, auxiliary examination, degree of surgical resection and clinical efficacy were analyzed. Results The group of ependymoma accounted for 39.4%, astrocytoma accounted for 29.6%, lipoma accounted for 12.7%, hemangioblastoma accounted for 99%, the total surgical resection rate was 62% , While ependymoma up to 92  9%, near total resection rate was 19  7%, partial resection or biopsy rate of 18  3%, operative mortality was 2  8%. Conclusion The majority of spinal intramedullary tumors should be early diagnosis of early surgical treatment, such as ependymoma and other multi-can achieve tumor resection, malignant tumor or incomplete resection should be treated with radiotherapy