显微手术治疗脊髓髓内肿瘤38例临床分析

目的 探讨显微手术治疗脊髓髓内肿瘤的临床疗效.方法 对38例脊髓髓内肿瘤患者的临床资料进行回顾性分析,并对肿瘤的切除情况及术后患者功能改变情况进行总结.结果 38例中17例室管膜瘤均显微镜下全切除；13例星形细胞瘤全切除5例,近全切除4例,部分切除4例；5例脂肪瘤均大部分切除；3例血管母细胞瘤均全切除.32例术前有不同程度运动障碍的患者出院时29例有不同程度的改善,1例无变化,2例较术前减退；29例患者术前有不同程度感觉障碍,出院时21例患者有改善,5例无变化,3例加重；14例出现括约肌功能障碍的患者,12例较术前减轻或缓解,2例无变化.结论 早期诊断并采取显微手术治疗是脊髓髓内肿瘤首选的治疗方法,值得在临床推广应用.

Clinical analysis of the microsurgical treatment for intramedullary spinal cord tumors

Objective To explore the effect of the microsurgical treatment for intramedullary spinal cord tumors.Methods 38 patients with intramedullary spinal cord tumors were retrospectively analyzed,and the removal of the tumor cases and functional changes in patients after surgery was summarized.Results 38 cases of intramedullary spinal cord tumors,17 cases of ependymoma were all totally removed under the microscope;13 cases of astrocytoma resection achieved in 5 cases,near total resection in 4 cases,partial resection in 4 cases;5 patients most of the lipoma removed;3 cases of hemangioblastoma resection were done.32 patients before surgery in patients with different degrees of movement disorders at discharge in 29 patients with different degrees of improvement,no change in 1 case,2 cases decreased compared with preoperation ;29 patients with varying degrees of preoperative sensory disturbance,21patients at discharge with improvement,5 patients had no change,three cases aggravated; 14 patients had sphincter dysfunction,12 patients improveed than before surgery 2 patients had no change.Conclusion Earhy diagnosis and taking early microsurgical treatment was the preferred method in treatment of Intramedullary spinal cord tumors in clinical application.