椎管内脊膜瘤的诊治(附94例分析)

The diagnosis and treatment of the intra-spinal meningeoma(analysis of 94 cases)

目的探讨椎管内脊膜瘤的发病机制、临床表现及治疗方法。方法回顾青岛大学医学院附属医院收治的94例椎管内脊膜瘤患者,其中男15例,女79例,分析其术前临床表现、影像学资料、手术方式、术后病理及术后恢复情况,并复习相关文献。结果 94例患者均行手术切除,术后病理检查均确诊为脊膜瘤,术后随访2～10年,4例复发,均再行手术切除。统计随访结果显示89例恢复良好,2例效果一般,3例效果不佳。结论手术切除是治疗椎管内脊膜瘤的根本方法。

Objective The pathogenesis, clinical performance and treatment method of intra-spinal meningeoma are discussed. Methods We reviewed the clinical manifestation, radiographic inspection, surgical approach and post-operative recovery of 94 patients with intra-spinal meningeoma, and reviewed the related literatures. Results All the 94 patients were pathologically confirmed as meningeoma. Followed up for 2 years to 10 years, there were 4 cases recurrence and they all took operation again. Statistical results show that 89 cases recovered well, 2 cases recovered unideal, 3 cases have no apparent effect. Conclusions Surgical operation is the basic method to cure intra-spinal meningeoma.