颈椎椎管内肿瘤的诊断与手术治疗（附46例报告）

Diagnosis and Treatment of cervical Intraspinal Canal Tumor:A Report of 46 Cases

颈椎椎管内肿瘤并不少见。肿瘤易造成脊髓压迫，致瘫率高，甚至危及生命，而且其手术难度和风险较大。本文报告颈椎管内肿瘤４６例，男３４例，女１２例。髓内肿瘤６例，髓外硬膜下肿瘤３２例，硬膜外肿瘤８例。本组病例均行颈椎ＭＲＩ检查和手术治疗。结果表明，ＭＲＩ能显示肿瘤的部位、范围以及其与脊髓的关系，是早期诊断颈椎管内肿瘤的可靠方法。如确诊后及时行手术治疗，多能获得满意疗效。

.From January 1989 to February 1994, 46 patients were operated upon for cervical intraspinal canal tumors.There were 34males and 12 females,aged from 8-69 years(42 years,on average). MRI was undertaken in all patients.Thre were6intramedullary tumors,32 extrameduallary and subdural tumors.Follow-up for 6-65 months(average 38 months)showedexcellent and good results in 92.8%.It is concluded that MRI is valuable for the diagnosis,treatment and prognosis of cervicalintraspinal canal tumors and it very important to perform the operation as early as possible.