脊髓内畸胎瘤

Intramedularyspinalteratoma

作者报告了经手术和病理证实的脊髓内畸胎瘤５例，占同期椎管内原发肿瘤的０．６３６％。肿瘤位于颈胸段２例，圆椎内马尾区３例。临床表现以脊髓内占位病变损害所致的运动障碍和疼痛为最常见症状，膀胱或（和）直肠功能障碍亦较常见。ＣＴ和ＭＲ检查有定位和定性意义。手术切除是唯一的治疗手段。

Wetreated5casesofintradularyspinalteratomasfrom1974to1995,acounting0.636%ofalintraspinaltumorsand45.45%ofalteratomasofspinalcordadmitedinthesametime.Theoriginofthistumoriscontroversial.Itisnoteasytodiferentiatethistumorsfromotherin-tramedularyspinaltumorsonclinicalgrounds.CTandMRscansofthistumorenabledustomakethepreoperativediagnosisofteratoma.Resectionistheonlytreatmentofchoice.