颈段脊髓髓内室管膜瘤的预后分析(附40例分析)

Prognositic analysis of intramedullary cervical spinal cord ependymomas: analysis of 40 cases

目的探讨影响颈段脊髓髓内室管膜瘤手术治疗的预后因素。方法对40例接受手术治疗的颈段脊髓髓内室管膜瘤病人进行电话随访,并采用日本矫形外科协会(JOA)制定的脊髓功能评分标准对手术前后的状况进行评分。结果显微外科手术治疗可以显著的改变脊髓的功能状况,尤其是躯体感觉和膀胱功能。预后与年龄、性别、肿瘤长度等均无显著性相关,而与术前的脊髓功能呈显著正相关。结论显微外科手术能够有效的治疗颈段脊髓髓内室管膜瘤;早期发现、诊断和显微手术治疗是获得良好预后的必然选择。全切肿瘤、术中使用超声检测和电生理监测、椎板切除术后的椎板重建可以提高手术治疗效果。

Objective To analyze the factors affecting the operative prognosis of intramedullary cervical spinal cord ependymomas. Methods Forty patients harboring intramedullary spinal cord ependymomas located in the cervical spinal cord were treated surgically. The preoperative and postoperative status was taken by telephone follow-up and scored by Japanese Orthopaedic Association (JOA) scoring system. Results The functions of cervical spinal cord, especially somatic sensation and bladder function were markedly impro...