摘要
目的探讨椎管内肿瘤的临床诊断及手术治疗效果。方法回顾性分析2001年1月至2013年1月间收治的300例椎管内肿瘤患者的临床资料,总结其临床诊断经验及手术治疗效果。结果核磁共振成像(MRI)对椎管内肿瘤的确诊率为100%,高于X射线的确诊率(1.3%)和计算机断层扫描(CT)的确诊率(63.5%,P<0.05)。恶性椎管内肿瘤患者的疼痛、感觉障碍和运动障碍的发生率高于良性椎管内肿瘤患者(P<0.05)。髓外肿瘤患者的疼痛和棘突叩击痛的发生率高于髓内肿瘤患者,而自主神经障碍的发生率低于髓内肿瘤患者(P<0.05)。手术后恶性肿瘤的复发率高于良性肿瘤(36.3%和5.4%,P<0.05)。结论掌握椎管内肿瘤患者常见的临床症状对疾病的诊断和鉴别诊断具有辅助作用。MRI检查是诊断椎管内肿瘤的主要手段,手术是其有效的治疗方法。
Objective To explore the experience and existing problems of clinical diagnosis and surgical treatment of intraspinal tumors. Methods A retrospective analysis of 300 patients with intraspinal tumor treated with surgery from Jan. 2001 to Jan. 2013 was conducted. Results The diagnosis rate of in- traspinal tumors using MRI was 100% ,while the rates for X-ray and CT were 1. 3% and 63.5% ,respective- ly. The incidence rates of pain, sensory disturbances and dyskinesia in patients with malignant tumor were higher than with benign tumor. The incidence of pain and spinous percussion pain in extramedually tumors were greater than in intramedually tumors. The incidence of autonomic disorders in intramedually tumors was greater. The recurrence rate in malignant tumor was 36. 3% ,while it was 5.4% in benign tumor. Conclu- sions Combined clinical symptoms with application of different imaging methods, especially MRI, can help the diagnosis. Operation is the main method in treatment of intraspinal tumors with good clinical effects.
出处
《中国肿瘤临床与康复》
2014年第2期223-225,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
