上颈椎肿瘤的诊断与手术治疗

Diagnosis and Treatment for Tu mors of the Upper Cervical Spine

目的：探讨上颈椎肿瘤的诊断和治疗方法。方法：分析上颈椎肿瘤１５ 例临床资料，观察其临床表现、影像学改变及手术疗效。结果：上颈椎肿瘤多见于Ｃ２ 椎体，以转移性肿瘤为主，其次为巨细胞瘤。对１４ 例进行术后６ 个月～５ 年（ 平均２９ 个月） 随访，术后７１ ％ （１０／１４） 获得满意疗效。结论：ＭＲＩ 对上颈椎肿瘤早期诊断具有重要价值。对上颈椎肿瘤如无全身性转移病灶，患者全身情况允许，应尽早行手术治疗。

Objective :To study the ideal m ethods for diagnosis and treatment for tu mors of the upper cervical spine .Meth ods :Fifteen patients with tum ors of the upper cervicalspine were presented .Magnetic resonanceimaging( MRI) was conducted in all patients .Ten of them underwent extraoral anterior surgery ,3 cervical posterior surgery and 2 extraoral anterior and cervical posterior surgery .The follow up was obtained in 14 of them for 6 - 60 months(averaging 29 months) .Results :There were 6 metastases ,5 giant celltu m ors and 4 other benign tum ors in the upper cervical spine .The follow up showed that excellent and good results were achieved in 71 % .Conclusion :MRIis valuable for the diagnosis of the upper cervical spine tu mors .Extraoral anterior surgery and extrapral anterior and cervical posterior surgery were the ideal m ethods for surgical manage ment of the up per cervical spine tu mors .