脊髓脂肪瘤的诊治策略

Recent advance in diagnoses and treatments of spinal cord lipomas

脊髓脂肪瘤是一种危害较大的难治性神经管畸形。以往,神经外科医生因对该病的病理解剖特性及手术技术认识不足,导致术后并发症和症状复发率较高。本文围绕复杂脊髓脂肪瘤的胚胎病理学及分型、检査手段、手术策略、手术方法、结果与随访等进行综述,以期为临床工作者诊治该病提供参考。

Spinal cord lipomas is a kind of refractory neural tube defect with great harm.In the previous experiences,some neurosurgeons did not know enough about the pathoanatomical characteristics and surgical techniques of the disease,which led to a high rate of postoperative complications and symptom recurrence.This article reviews the embryopathology features,classifications,examination methods,surgical strategies,operative procedures,outcomes and follow-up results of spinal cord lipoma to provide references for clinical workers to diagnose and treat this disease.