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目的:报道应用显微外科手术切除颈段髓内肿瘤的临床疗效。方法:对10例颈段髓内肿瘤施行显微手术治疗。采用McCormick临床神经功能分级方法及MRI检查,对患者术前、术后神经功能改变,以及肿瘤切除情况进行评估分析。结果:肿瘤全切除7例,次全切除2例,部分切除1例。术后临床神经功能改善6例,保留术前神经功能3例,术后神经功能变差1例;术后无死亡病例及手术致残者。结论:显微外科能提高手术切除颈段髓内肿瘤的临床疗效,改善患者症状。
Objective: To report the clinical efficacy of microsurgical surgical removal of cervical segment intramedullary tumors. Methods: Ten cases of cervical intramedullary tumors were treated by microsurgery. The McCormick clinical neurological grading method and MRI examination were used to evaluate the patients’ preoperative and postoperative neurological function and tumor resection. Results: Total resection in 7 cases, subtotal resection in 2 cases, partial resection in 1 case. Postoperative clinical neurological improvement in 6 cases, retained preoperative neurological function in 3 cases, postoperative neurological dysfunction in 1 case; no postoperative deaths and surgical disability. Conclusion: Microsurgery can improve the clinical efficacy of surgical resection of cervical intramedullary tumors and improve the symptoms of patients.