脊髓髓内肿瘤11例显微外科治疗

Microneurosurgery for Intramedullary Tumor

目的 :探讨髓内肿瘤行显微外科手术治疗的有效方法。方法 :分析 11例经显微手术切除的髓内肿瘤病例 ,其中室管膜瘤 4例 ,星形细胞瘤 3例 ,神经鞘瘤 1例 ,上皮样囊肿 2例 ,脂肪瘤 1例。均在moller 30 0手术显微镜下进行。结果 :4例室管瘤 ,全切除 3例 ,近全切除 1例 ;星形细胞瘤近全切除 2例 ,大部分切除 1例 ;1例神经鞘瘤全切除 ;2例上皮样囊肿近全切除 ;1例脂肪瘤大部分切除。术后随访病人 3个月～ 2 1个月 ,疼痛加重 1例 ,3例无明显变化 ,余病人均有不同程度的改善和好转。结论 :脊髓髓内肿瘤显微手术切除创伤小 ,并发症少 ,术后恢复快 ,是脊髓髓内肿瘤治疗的首选方法。

Objective:To investigate the neurosurgical technique for intramedullary tumour.Methods:An analysis has statistically been made of 11 cases of tumor resected by microneurosurgery under the moller-300 microscope.Results:Of 4 cases of ependymoma,3 were completey resected and 1 subtotally resected;of 3 cases of astrocyoma,2 were subtotally resected and 1 partially resected,1 case of schwannoma was completely resected,2 cases of epidermoid cyst were subtotally resected,and 1 case of adipoma was partially resected.Postoperative follow-up period was 3～21 months.The overall postoperative neurological state was improved in 8 cases,unchanged in 3,and worsened in 1.Conclusion:Microsurgical techniques resection have improved the outcome and it is the safe and successful treatment for intramedullary tumour.