延颈髓髓内室管膜瘤的显微手术切除

目的　探讨延颈髓髓内室管膜瘤显微手术治疗的临床疗效。方法　回顾性分析 2 8例延颈髓髓内室管膜瘤的临床表现、辅助检查、手术切除程度及临床疗效。结果　 2 8例延颈髓髓内室管膜瘤中全切除 2 6例 ,1例肿瘤的延髓侧切除中呼吸有改变行近全切除 ,1例肿瘤的下级有囊性变和空洞 ,术中部分囊性变残留 ,术后MRI显示部分囊肿壁上有肿瘤残留。无手术死亡病例及手术致残者 ,术后神经系统功能多数得到恢复和改善。结论　MRI检查是诊断延颈髓髓内室管膜瘤的可靠方法 ,绝大多数肿瘤可通过显微外科手术达到全切除 ,未全切除者或间变者应辅以放射治疗

Microsurgical removal of intramedullary ependymoma in medulla and spinal cord

Objective To evaluate the clinical curative effect of microsurgery of intramedullary in medulla oblongata and cervical spinal cord. Methods The clinical data of 28 cases of intramedullary ependymoma in medulla oblongata and spinal cord were respectively analysed , including clinical demonstrations, imaging test, operative removing grade and clinical effect. Results Complete tumor removal was undergone in 26 patients and subtotal tumor in 2 patients. There was no operative mortality and severe mobidity.Almost all the patients' neurological conditions were improved after operation. Conclusion The most reliable method for diagnosis of intramedullary ependymoma is magnetic resonance imaging. Most tumors could be totally removed by microsurgical operation.The patients whose tumor was subtotally resected or anaplasia should reserve postoperatively radiological therapy.