摘要
目的 探讨高颈段脊髓肿瘤的诊断和手术治疗方法。方法 回顾性分析 17例高颈段脊髓肿瘤的临床资料。结果 全部病例均在插管全麻下行颈后正中入路手术 ,15例行显微手术 ,全切 15例 ,次全切除 2例。随访 1～ 9年 ,14例生活工作正常 ,3例生活自理。结论 高颈段脊髓肿瘤早期诊断困难 ,MRI为此类肿瘤首选诊断方法 ,采取正确的手术方法 ,术后要加强对并发症的监护和防治。
Objective To explore the diagnosis and the operative treatment methods of high neck section tumor of spinal cord.Method Clinical data of 17cases with high neck section tumor of spinal cord were analyzed restropectively. Results The operation of the just center of postneck under the circumstance of intubation pamplegia were out in all the cases, including 15 Microsurgery, total resection 15 cases (88%) subtotal resection 2 cases. Followed-up survey was conducted for 1 to 9 years, 14 cases lived and worked normally 3 cases lived.Conclusions Early diagnosis of high neck section tumor of Spinal cord is very difficult. MBI is the first diagnosis method of this kind of tumor. The correct operation method should be taken and the monitoring and preventions and cure of the complication after operation should be strengthened.
