摘要
目的探讨脊髓内室管膜瘤的手术要点及注意事项。方法回顾分析2006年北京天坛医院经病理证实的20例髓内室管膜瘤的临床资料。男12例,女8例;年龄21-65岁,平均34.5岁。首发症状为肢体麻木无力和感觉异常。病情由上向下发展为其特点。20例均行MRI检查,全切除18例,近全切除2例。结果20例均得以随诊,时间为6个月-1年,症状完全消失12例,明显改善6例,2例为部分改善。结论室管膜瘤与脊髓界限清楚,行后正中入路,掌握手术要点可完全切除,全切肿瘤后术后无需放疗。
Objective To evaluate the operative procedure of the spinal intramedullary ependymoma. Methods 20 case of spinal ependymoma in TianTan Hospital confirmed opratively and pathologically were reviewed. 12 male and 8 femal with average age of 34.5 years were included in this study. The primary symptoms were weakness and paresthesia of extremities with the characteristics of progressing from upword to downwords. 20 cases were MR.-scanned, showing intramedullary space occupying lesions. It＇s complete surgical removel was achieved in 18 patients, almost removel in 2. Results 20 pateints were followed up from 6 to 12 months. Symptoms in 12 patients were completely disappear. 6 patients were obviously improved, 2 patients were partly improved. Conclusions Ependymoma usullay has a clear boundary in the spinal cord, The lesion could be completely removed with experienced surgical technique from postier-middle approach. If It＇s completely surgical removed, radiotherapy was not necessary.
出处
《海南医学》
CAS
2008年第4期39-40,共2页
Hainan Medical Journal
关键词
脊髓肿瘤
室管膜瘤
显微手术
Spinal cord neoplasms
Ependymoma
Microsurgical procedures.
