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[目的]颈髓髓内室管膜瘤的临床表现特点,探讨其早期诊断及显微手术治疗等问题。[方法]回顾分析某院2005年1月～2009年11月10例经MRI、手术及病理证实的颈段髓内室管膜瘤临床资料。患者均在全身麻醉下行显微镜下肿瘤切除术。[结果]全切除9例,大部切除1例。随诊9例,4～58个月,术后恢复正常工作6例,生活自理2例,1例无改善。[结论]颈髓髓内室管膜瘤特有的临床表现及其影像学MRI征象为诊断主要依据。合适的手术入路,精细的显微外科手术操作可提高颈段脊髓髓内室管膜瘤的疗效。
[Objective] To investigate the clinical features of cervical intramedullary ependymoma and to discuss its early diagnosis and microsurgical treatment. [Method] The clinical data of 10 cases with cervical intramedullary ependymoma confirmed by MRI, operation and pathology from January 2005 to November 2009 in a hospital were retrospectively analyzed. All patients underwent undergone tumor resection under general anesthesia. [Results] Total resection in 9 cases and partial resection in 1 case. Follow-up in 9 cases, 4 to 58 months, 6 cases returned to normal work, living in 2 cases, 1 case without improvement. [Conclusion] The clinical manifestations of cervical intramedullary ependymoma and their MRI signs are the main basis of diagnosis. Appropriate surgical approach, fine microsurgery operation can improve the cervical spinal cord marrow ependymoma curative effect.