手术治疗高颈段椎管内肿瘤18例

    Surgical treatment of intraspinal tumor in the upper segment of cervial in 18 cases

    • 摘要: 目的:探讨高颈段椎管内肿瘤手术治疗特点。方法:根据X线、CT及MRI等检查结果,初步评价肿瘤的性质、受累范围,确定手术方案。枕下颈后正中线入路15例,颈外侧入路3例,颈前方入路1例。结果:痊愈16例,1例术后无变化,1例术后呼吸困难加重,并发吸入性肺炎,术后3 d呼吸衰竭死亡。15例随访1~2年,肿瘤无复发。结论:合理的手术入路、熟练仔细的操作是手术成功的关键,显微手术是脊髓内肿瘤最有效的治疗方法。

       

      Abstract: Objective:To discuss the characteristics of surgical treatment of intraspinal tumor in the upper segment of cervical.Methods:The surgical planning of patient was made after the character,range of tumor were evaluated according to the results of X-ray,CT and MRI.Results:After the surgical treatment,16 patients recovered,one patient had no improvement,one patient got increasing dyspnea complicated by aspiration pneumonia and died from breath failure.There was no tumor recurrence case after 1 to 2 years of follow-upin 18 patients.Conclusions:Optimal surgical approach and skillful operation are key to the treatment of intraspinal tumor,and microsurgery is the most effective method for treatment of intraspinal tumor at present.

       

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