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目的探讨脊髓髓内肿瘤显微手术治疗的临床疗效。方法回顾性分析16例脊髓髓内肿瘤患者的临床资料,比较患者术前、术后运动及感觉功能的变化情况。结果 16例中8例星形细胞瘤近全切除4例,部分切除4例;5例室管膜瘤均全切除;2例脂肪瘤均大部分切除;1例血管母细胞瘤全切除。12例术前有不同程度运动障碍,出院时8例有改善,2例无变化,2例较术前减退;10例术前有不同程度感觉障碍,出院时6例有改善,3例无变化,1例加重;5例括约肌功能障碍者,3例较术前减轻或缓解,2例无变化。结论显微手术治疗术中注意肿瘤的显露、脊髓的保护,可有效减少并发症,改善患者生存质量。
Objective To investigate the clinical effect of microsurgical treatment of spinal intramedullary tumors. Methods The clinical data of 16 patients with intramedullary spinal cord tumors were retrospectively analyzed. The changes of preoperative and postoperative motor and sensory function were compared. Results Eight cases of astrocytoma were removed in 4 cases and partial resection in 8 cases. All 5 cases of ependymomas were resected completely, 2 cases of lipoma were mostly resected, and 1 case of hemangioblastoma was resected. There were 8 cases of dyskinesia before operation, 8 cases were discharged at the time of discharge, 2 cases had no change, 2 cases had a decrease compared with that before operation; 10 cases had sensory disturbance before operation, 6 cases improved at discharge, 3 cases had no change , 1 case aggravated; 5 cases of sphincter dysfunction, 3 cases relieved or relieved compared with preoperative, 2 cases no change. Conclusion Microsurgical treatment of tumor attention revealed surgery, spinal cord protection, which can effectively reduce the complications and improve patient quality of life.