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椎管内肿瘤约占中枢神经系统肿瘤的10％,颅内与椎管内肿瘤之比成人约为6:1,儿童为20:1。我院自1964年4月至1982年8月共收治83例,现就其诊断、治疗分析讨论。临床资料本组男47例,女36例,年令在15岁以下7例,16—50岁59例,51岁以上17例,年令最小2岁,最大68岁,入院前病程3月以内21例,3月—1年以内33例,1年以上29例。发生部位:肿瘤在颈段9例,颈胸段9例,胸段49例,腰段3例,腰骶段11例,胸腰骶段2例;髓内型15例,髓外硬膜下型47例,硬膜外型21例。病理分类:见表1。临床首发症状:根痛41例,感觉障碍36例,运动障碍19例,括约肌功能障碍11例,头痛呕吐5例。主要体征:除11例病变位于腰骶段外,均有不同程度的截瘫,单瘫,四肢瘫;多数肌张力增高,
The tumor in the spinal canal accounts for about 10% of the tumors in the central nervous system. The ratio of intracranial to intraspinal tumors is about 6: 1 in adults and 20: 1 in children. Our hospital from April 1964 to August 1982 a total of 83 cases were treated, is its diagnosis, treatment analysis and discussion. Clinical data The group of 47 males and 36 females, year under the age of 15 in 7 cases, 16-50 years old in 59 cases, 51 years of age in 17 cases, the youngest 2 years old, maximum 68 years of age, pre-admission duration of 3 months 21 cases, 33 cases in March - 1 year, more than 1 year in 29 cases. Occurring sites: tumor in the cervical segment in 9 cases, 9 cases of cervical and thoracic, 49 cases of thoracic, lumbar in 3 cases, lumbosacral in 11 cases, thoracolumbar sacral segment in 2 cases; 15 cases of intramedullary, extramedullary subdural 47 cases, 21 cases of epidural. Pathological classification: see Table 1. Clinical first symptom: 41 cases of root pain, sensory disturbance in 36 cases, movement disorders in 19 cases, sphincter dysfunction in 11 cases, headache and vomiting in 5 cases. The main signs: In addition to 11 cases of lesions located in the lumbosacral segment, have varying degrees of paraplegia, monopolar, quadriplegia; most of the increase in muscle tone,