论文部分内容阅读
作者从1983年起对19例脊髓肿瘤患者(男8例,女11例,年龄16～62岁)施行20次手术,1例因术后1年半复发而再手术,采用一侧椎板切除通路实现肿瘤摘除。硬脊膜外肿瘤6例(转移瘤3例、网状细胞肉瘤2例、浆细胞瘤1例)。髓外肿瘤10例(神经纤维瘤4例、脊膜瘤5例、室管膜瘤1例),髓内肿瘤3例(星形细胞瘤2例、血管瘤1例)。10例髓外肿瘤中位于脊髓前侧面有4例,后侧面3例,侧面2例,后面1例。一侧椎板切除,切除1个椎弓有2例,2个椎弓9例,3个椎弓4例,4个椎弓2例,6个椎弓2例。10例完全摘除肿瘤(全部为神经纤维瘤、脊膜瘤、室管膜瘤),9例只作肿瘤部
From 1983, the author performed 20 operations on 19 patients with spinal cord (8 males and 11 females, aged 16-62 years). One patient had reoperation due to recurrence at 1 year and a half after surgery. One side laminectomy was used. Pathway to achieve tumor removal. There were 6 epidural tumors (3 metastases, 2 sarcomas, and 1 plasmacytoma). There were 10 extramedullary tumors (4 neurofibromas, 5 meningioma, 1 ependymoma) and 3 intramedullary tumors (2 astrocytoma and 1 hemangioma). In 10 cases of extramedullary tumors, there were 4 cases on the anterior side of the spinal cord, 3 cases on the posterior side, 2 cases on the lateral side, and 1 case behind. One side of the lamina resection, removal of a vertebral arch in 2 cases, 2 vertebral arches in 9 cases, 3 vertebral arches in 4 cases, 4 vertebral arches in 2 cases, 6 vertebral arches in 2 cases. 10 cases had complete tumor removal (all neurofibromas, meningioma, ependymoma), and 9 cases only had tumors