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作者报告12例延颈髓髓内肿瘤的手术治疗,并对手术人路,手术方法和效果进行了分析。12例中男7例,女5例,年龄17～57岁,平均35岁。病程1.5～7年。临床特点主要为锥体束损害,感觉障碍和缓慢发展的球部症状。MRI是诊断本病的可靠方法,4例实质肿瘤边界清楚(室管膜瘤3例,成血管细胞瘤1例),混合信号8例(星形细胞瘤4例,室管膜瘤3例,成血管细胞瘤1例),7例有不等大小的囊肿形成(室管膜瘤3例,星形细胞瘤4例),弥漫粗大并可见边界不清的肿瘤影5例(星形细胞瘤3例,成血管细胞瘤2例)。
The authors report 12 cases of surgical treatment of cervical intramedullary tumors, and the surgical approach, surgical methods and effects were analyzed. There were 7 males and 5 females in 12 cases, aged from 17 to 57 years (average 35 years old). Duration of 1.5 to 7 years. The main clinical features are pyramidal tract lesions, sensory disturbances, and slowly developing bulbous symptoms. MRI is a reliable method for the diagnosis of this disease. The borderline of 4 parenchymal tumors (3 ependymomas, 1 hemangioblastoma), 8 mixed signals (4 astrocytoma, 3 ependymomas, (1 case of hemangioblastoma), 7 cases of unequal cysts (3 cases of ependymomas, 4 cases of astrocytoma), 5 cases of tumor with diffuse and visible unclear border (astrocytomas 3 cases, hemangioblastoma in 2 cases).