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目的总结多节段椎管内肿瘤的诊治经验。方法对12例多节段(>4个节段)椎管内肿瘤病人的临床特点、影像学表现、手术方式和疗效进行回顾性分析。病变位于颈段、颈胸段、胸段、腰骶段各3例;髓外硬脊膜下5例,软脊膜下2例,硬脊膜外2例,髓内3例。均行显微手术病灶切除。结果病灶全切除10例,次全切除2例。术后3个月,恢复良好5例,好转6例,无变化1例。结论椎管内多节段肿瘤起病时症状可较轻微,逐渐加重。早期显微手术尽可能切除肿瘤,有助于功能的恢复。
Objective To summarize the experience of multi-segment spinal canal tumor diagnosis and treatment. Methods The clinical features, imaging findings, surgical methods and curative effects of 12 patients with multi-segment (> 4-segment) intraspinal tumors were analyzed retrospectively. The lesions were located in the cervical, thoracic, thoracic, lumbosacral segments in 3 cases; extramedullary subdural in 5 cases, 2 cases of subdural, 2 cases of epidural, 3 cases of intramedullary. All patients underwent microsurgical resection. Results Total lesion in 10 cases, subtotal resection in 2 cases. 3 months after operation, 5 cases recovered well, 6 cases improved without change in 1 case. Conclusion Multi-segment spinal canal tumor onset symptoms may be mild, and gradually increased. Early microsurgical resection of the tumor as much as possible, help to restore function.