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目的评估显微外科手术治疗椎管内肿瘤的临床效果。方法回顾分析46例采用显微外科技术切除的椎管内肿瘤病例,对肿瘤的部位、病例类型、切除程度及症状缓解情况进行总结。结果 46例椎管内肿瘤均成功切除,其中40例完全切除,6例部分切除,完全切除率达87.0%。术后症状改善率较高,仅1例出现疼痛较术前加重。没有1例复发,没有死亡病例。结论应用显微外科技术进行椎管内肿瘤切除,可提高肿瘤切除率,降低脊髓损伤及并发症的发生率。
Objective To evaluate the clinical effect of microsurgery on intraspinal tumors. Methods Retrospective analysis of 46 cases of microsurgical resection of spinal canal tumor cases, the tumor location, type of cases, resection degree and symptom relief are summarized. Results All the 46 cases of spinal canal tumors were successfully resected, of which 40 cases were completely resected and 6 cases were partially resected. The complete resection rate was 87.0%. Postoperative improvement in the rate of symptoms is high, only 1 case of pain worse than preoperative. No recurrence, no deaths. Conclusion The microsurgical technique for resection of the spinal canal can improve the tumor resection rate and reduce the incidence of spinal cord injury and complications.