脊髓髓内肿瘤和脊髓积水症的激光显微手术治疗

• 作 者: 徐启武 唐镇生 季耀东
• 机 构: 上海医科大学附属华山医院神经外科,上海医科大学附属华山医院神经外科,上海医科大学附属华山医院神经外科,
• 出 处: 上海医学
• 发表日期: 1991年07期
• 关键词: 髓内肿瘤 激光显微手术 水症 手术指征 血管母细胞瘤 胶质瘤 术后症状 室管膜瘤 软脊膜 枕大孔

本文报道CO_2激光显微手术治疗6例脊髓髓内肿瘤(4例全切除,2例次全切除)和3例先天性脊髓积水症。术后症状改善者8例,稳定者1例,随访2～20个月,效果较满意。作者描述了激光显微手术的方法、指征、优点及其注意事项。对于脊髓髓内肿瘤和先天性脊髓积水症的诊断、手术指征和其它注意事项,也作了简要讨论。

This paper reports CO_2 laser microsurgical treatment of 6 cases of intramedullary spinal cord tumors (4 cases of total resection, 2 cases of subtotal resection) and 3 cases of congenital spinal cord disease. Postoperative symptoms were improved in 8 cases, stable in 1 case, followed up for 2 to 20 months, the effect is more satisfactory. The authors describe the methods, indications, advantages and precautions of laser microsurgery. There is also a brief discussion of the diagnosis of spinal intramedullary tumors and congenital spinal cord syndrome, surgical indications, and other considerations.