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目的 探讨椎管内肿瘤的诊断与手术治疗。方法 回顾性分析 1987-0 8～ 2 0 0 2 -0 8收治的 2 2例不同部位的椎管内肿瘤患者的临床表现和诊断及手术治疗。结果 术前所有患者依其不同的临床表现 ,结合相应的检查明确诊断 ,术后除 3例死亡外余均有不同程度的好转 ,其中 18例患者感觉及运动功能恢复或基本恢复正常。结论 椎管内肿瘤患者的临床表现有一定的特殊性 ,术前确诊主要依赖MRI ,根据肿瘤的部位早期采取不同的手术方式治疗
Objective To investigate the diagnosis and surgical treatment of spinal canal tumor. Methods The clinical manifestations, diagnosis and surgical treatment of 22 patients with different degrees of spinal canal tumors admitted to our hospital from 1987-0 8 to 20 0 2-0 8 were retrospectively analyzed. Results All patients underwent preoperative diagnosis according to their different clinical manifestations and the corresponding examinations. After surgery, all the patients except the three died of varying degrees of improvement. Among them, 18 patients recovered or returned to normal with sensory and motor function. Conclusion The clinical manifestations of patients with spinal canal tumors have certain particularity. The preoperative diagnosis mainly depends on MRI. According to the different parts of the tumor, different surgical methods are used