摘要
脊髓肿瘤250例,神经鞘瘤占53%以上,以根痛为主要症状。髓内肿瘤多发生在颈段脊髓,感觉障碍为主。转移瘤好发于胸椎管内,多以突发疼痛起病。哑铃型脊髓肿瘤如未根治,则在1～7年内复发。腰椎段哑铃型脊髓肿瘤有一组与腰大肌相关的症状,我们暂叫它为腰大肌综合征。椎管阻塞平面在背部皮肤上的投影定位,是避免手术探查错位的有效措施。术中恰当地使用咬骨钳,可避免加重脊髓的损伤。
250 cases of spinal cord tumors are reported.Among them neurilemmoma was 133 cases,men-ingioma 37 cases,intramedullary tumor 36 cases,metastatic tumor 14 cases and other 30 cases.Most of intramedullary tumors located in cervicalarea,metastatic tumor was easier to occur in thethoracic region whereas neurilemmoma had aendence to distribute averagely total soinal cord.The main symptoms of neurilemmom were rootpain and intramedullary tumor was sensorydisturbance.According to analysis of our 19 casesthe dumbbell tumor may recurred within 1-7 yearafter in complete removal.On the other hand,dumb-bbell type tumor on lumbar spinal cord had asyndrome related to greater psoas muscle.Patientfelt pain over the lower extremity on tumor side,and exacerbated during straighting of the leg.Determination of the level of intravertebral canalstruction by tumor was very important beforeoperation.Proper use bone forceps in operation wasdirectly relative to patient's recorvery or dete-rioration of nerve function.
出处
《中华神经外科杂志》
CSCD
北大核心
1990年第3期200-202,共3页
Chinese Journal of Neurosurgery
