目的　总结椎管内肿瘤的临床表现、诊断和治疗。方法　回顾性分析 2 3例椎管内肿瘤的临床表现、诊断和手术治疗的结果。结果　椎管内肿瘤早期表现不典型 ,腰穿脑脊液动力学检查及生化分析、椎管造影和MRI对诊断有价值。 2 3例术后随访 3个月～ 3年 ,优良率 86 96 %。结论　椎管内肿瘤根据临床表现、腰穿脑脊液动力学检查及生化分析、影像特征结合病理检查能确诊 ,手术治疗有良好的效果 Objective To summarize the clinical manifestations, diagnosis and treatment of spinal tumors. Methods The clinical manifestations, diagnosis and surgical treatment of 23 intraspinal tumors were retrospectively analyzed. Results The early manifestations of spinal canal tumors were not typical, lumbar puncture and cerebrospinal fluid dynamics and biochemical analysis, spinal angiography and MRI diagnosis of valuable. Twenty-three cases were followed up for 3 months to 3 years. The excellent and good rate was 86.96%. Conclusion According to the clinical manifestations of spinal canal tumor, lumbar spinal cerebrospinal fluid dynamics and biochemical analysis, imaging features combined with pathological examination can be diagnosed, surgical treatment with good results