目的:斜坡脊索瘤的临床特点和手术方法分析。方法:对自1994年1月-2003年6月在本院接受手术治疗的47例斜坡脊索瘤进行回顾性分析。结果:47例患者发病年龄为5～67岁,平均39岁。男女比例约为1.47∶1。头痛、复视是本病最常见的症状。47例患者中,肿瘤全切16例,次全切除18例,部分切除13例。结论:目前斜坡脊索瘤手术全切率低,预后差,首次手术应尽可能达到全切。较彻底的手术切除和新型放射治疗的结合可能为斜坡脊索瘤的治疗带来新的希望。 Objective: To analyze the clinical features and operative methods of chordoma. Methods: A retrospective analysis was performed on 47 cases of chordate chordoma undergoing surgery in our hospital from January 1994 to June 2003. Results: The onset age of 47 patients was 5-67 years old, with an average of 39 years. The male-female ratio is about 1.47: 1. Headache, diplopia is the most common symptoms of the disease. Of the 47 patients, 16 were partially resected, 18 were subtotally resected, and 13 were partially resected. Conclusion: At present, the surgical resection rate of chordoma is low and the prognosis is poor. The first operation should be cut to the full extent as possible. The combination of more radical resection and new radiation therapy may offer new hope for the treatment of ramped chordomas.