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目的：回顾性临床研究25例脊椎管内神经鞘瘤及手术治疗结果。方法：分别描述颈段（12例）、胸段（4例）和腰段（9例）肿瘤的临床表现和类型，以及影像学检查结果，包括X线平片、脊髓造影、CT和MRI。19例肿瘤全部切除，6例大部切除。优良率为80％，3例术后复发再次治疗，4例发生并发症，结论：①详细描述了肿③部位、侵犯范围、形态学特征及病理变化，对肿瘤的诊断治疗很有意义。②应遵循临床检查、影像学检查、手术探查和病理识别及切片检查相结合的诊断程序。③术前充分估计手术困难程度、术中全部切除肿瘤并保护神经组织、以提高治疗效果。
Objective: To retrospectively study the clinical results of 25 cases of schwannoma of the spinal canal and surgical treatment. Methods: The clinical manifestations and types of cervical (12 cases), thoracic (4 cases) and lumbar (9 cases) cases were described, as well as the imaging findings including X - ray, myelography, CT and MRI. 19 cases of tumor resection, 6 cases of most resection. The excellent and good rate was 80%. Three cases were relapsed and re-treated again, and 4 cases had complications. Conclusion: ① The detailed description of the swollen ③ area, the scope of invasion, the morphological features and the pathological changes were of great significance for the diagnosis and treatment of tumors. ② should follow the clinical examination, imaging examination, surgical exploration and pathological identification and biopsy combined with a diagnostic procedure. ③ preoperative fully estimated the extent of surgical difficulty, intraoperative resection of the tumor and protect the nerve tissue, in order to improve the therapeutic effect.