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目的:研究脊髓肿瘤的显微手术技术。方法:回顾分析了63例采用显微手术切除的脊髓肿瘤病例(髓外硬膜下39 例,髓内24例)的临床资料。结果:全切除55例,次全切除4例,部分切除4例。术后随访57例、随访期1-78个月,51例结果良好,6例结果差(3例死亡)。结论:显微手术治疗脊髓肿瘤结果较好。不同类型的肿瘤应采用不同的手术方法,熟练的显微技术和对脊髓保护意识是手术成功的关键。
Objective: To study the microsurgical techniques of spinal cord tumors. Methods: A retrospective analysis of 63 cases of microsurgical resection of the spinal cord tumor cases (extramedullary subdural 39 cases, intramedullary 24 cases) clinical data. Results: Total resection in 55 cases, subtotal resection in 4 cases, partial resection in 4 cases. Fifty-seven patients were followed up for 1-78 months. The results were good in 51 cases and poor in 6 cases (3 deaths). Conclusion: Microsurgical treatment of spinal cord tumors is better. Different types of tumors should be used in different surgical methods, skilled microscopy and spinal cord protection awareness is the key to the success of the operation.