论文部分内容阅读
目的总结脊髓髓内室管膜瘤的显微手术经验。方法显微手术治疗脊髓髓内室管膜瘤8例,随访观察术后神经功能状态。结果肿瘤全切除7例,近全切除1例。术后神经功能障碍好转6例,无变化1例,加重1例。结论采用显微外科技术,沿着正确的瘤髓界面分离、切除肿瘤是全切髓内室管膜瘤的基本保证;采用椎板成形术可提高术后脊柱稳定性;肿瘤全切除或近全切除后均不放疗。
Objective To summarize the microsurgical experience of spinal cord myeloma. Methods Eight cases of intramedullary ependymoma of the spinal cord were treated with microsurgery. The neurological status was observed after operation. Results Total tumor resection in 7 cases, nearly total resection in 1 case. Postoperative neurological dysfunction improved in 6 cases, no change in 1 case, an increase of 1 case. Conclusion Microsurgical techniques are used to separate and resect the tumor along the correct tumor-cell interface, which is the basic guarantee of total intramedullary ependymoma. Vertebral plateoplasty can improve postoperative stability of the spine. Total resection or near-complete tumor No radiotherapy after resection.