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本文报告63例脊髓内胶质瘤手术治疗的长期结果。有29例进行了随访,平均随访期为11.7年(2—23年)。本组最常见的症状是:运动和感觉障碍(70%);括约肌障碍(70%);脊柱疼痛(60%)和肌萎缩(55%)。依术前术后的临床表现进行评定。其结果分为改善、无变化和恶化。星形细胞瘤:12例中8例进行了术后随访,平均随访期10年(2—20年)。次全切除者5例,3例改善,2例无变化;行减压及活检术者3例,2例恶化,1例无变化;失随访者4例,术后当时2例改善,1例无变化,1例恶化。手术后无死亡。室管膜瘤:19例中7例进行了随访。平均随访期15年(6—23年)。全切除术者4例,2例改善,1例无变化;减压、活检者仅1例,无变化。失随访者11例,手术后当时结果是:7例改善,4例无变化。术后死亡1例(死亡率5%)。
This article reports the long-term results of surgical treatment of 63 cases of spinal cord glioma. Twenty-nine patients were followed up for an average of 11.7 years (2 to 23 years). The most common symptoms in this group were: motor and sensory disturbances (70%); sphincter disorders (70%); spinal pain (60%) and muscle atrophy (55%). According to the preoperative and postoperative clinical performance assessment. The results are divided into improvement, no change and deterioration. Astrocytoma: 8 cases of 12 cases were followed up for an average of 10 years (2 to 20 years). Subtotal resection in 5 cases, 3 cases improved, 2 cases did not change; decompression and biopsy in 3 cases, 2 cases deteriorated, 1 case no change; missing follow-up in 4 cases, postoperative 2 cases improved, 1 case No change, 1 case worsened. No deaths after surgery. Ependymomas: Seven of the 19 patients were followed up. The average follow-up period was 15 years (6-23 years). Total resection was performed in 4 cases, 2 cases improved, and 1 case did not change; decompression and biopsy only 1 case, no change. Eleven patients had lost follow-up. After the operation, the results were: 7 improved, 4 unchanged. One postoperative death (mortality 5%).