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脊柱骨软骨瘤较少见,1969年来我院共收治3例,其中1例为骨软骨瘤病。病变部位:C4、C5及T12各1例4个病变,压迫脊髓的3个病变均起源于椎板。经手术治疗,两例有脊髓压迫症状者完全恢复,1例瘫痪者随访两年无改善。复习中国所报告的脊柱骨软骨瘤共计32例34个病变,平均病程14个月,年龄345岁,男女比为2∶1。脊柱各阶段均有病变报道,以颈胸椎为多,按平均每个椎体发生病变的机会则依次为颈、腰、胸、骶椎。脊椎各部均可发生病变,以椎板、椎体及关节突为多。治疗均采用手术切除。影响预后的主要因素是术前神经功能已受损情况及肿瘤的位置。
Osteochondroma of the spine is less common. In 1969, 3 cases were treated in our hospital. One case was osteochondromatosis. Lesions: 4 lesions in 1 case in each of C4, C5, and T12, and 3 lesions in the spinal cord originated from the lamina. After surgical treatment, two patients who had symptoms of spinal cord compression recovered completely. One patient had no improvement after two years of follow-up. A total of 32 lesions of 32 cases of osteochondroma of the spine reported in China were reviewed. The average course of disease was 14 months, and the age ranged from 34 to 5 years. The male to female ratio was 2:1. There are reports of lesions at various stages of the spine. The cervical and thoracic vertebrae are numerous, and the chance of lesions occurring on average for each vertebral body is followed by the neck, waist, chest, and atlas. Lesions can occur in all parts of the spine, with lamina, vertebral bodies, and articular processes occurring. Treatments are surgically removed. The main factors affecting the prognosis are preoperative neurological impairment and the location of the tumor.