椎管内占位病变的诊断及显微外科治疗

The diagnosis and microsurgical treatment of intraspinal occupying lesions

目的总结椎管内占位病变的诊断与治疗经验。方法对83例椎管内占位病变患者行CT、MRI检查确诊，采用显微手术切除，并观察其康复和远期疗效。结果83例椎管内占位病变患者均行显微手术治疗，将病灶全部切除，术后顺利恢复，无严重并发症及死亡病例。随访1～5年，除1例胶质瘤和1例包虫病复发行二次手术治疗外，其余病例恢复良好。结论当患者确诊为椎管内占位病变后，应及时进行显微手术切除治疗，且创伤小、恢复快、疗效好。

Objective To summarize the experience of treating 83 patients who have Intraspinal occupying lesions so as to give the effective treatment. Methods We confirmed 83 cases of intraspinal occupying lesions by CT or MRI examination, removed the lesion by using micro-surgery treatment, and observed the clinical recovery and long-term effect. Resulta 83 cases of intraaspinal lesions were total treated with microsurgical surgery, without serious complications and death. Follow-up 1-5 years, except two cases of lumbodoral pain, one case of hydatid disease and one case of glioma relapse which were needed second operation, the remainders recovered well. Conclusions When the patients diagnosed with intraspinal occupying lesions they should conceive microsurgical treatment early and it can be lower operative damage, rapid recovery and satisfactory curative effect.