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目的：探讨颈髓髓内肿瘤的手术治疗问题。方法：对７３例颈髓髓内肿瘤的临床、影像学表现，手术治疗方法、疗效等方面进行回顾性总结分析。结果：全组无手术死亡；１９８５年以前颈髓髓内肿瘤２２例，全切除７例，占３１．８％；１９８５年至１９９８年６月共５１例，全部采用显微外科手术切除，其中肿瘤全切除４３例，占８４．３％。随访５个月至１６年９个月，失访１１例，实际随访６２例。其中存活５１例，４２例（８２．３％）已经恢复工作和家务，４例（７．８％）生活自理，尚有５例（９．８％）不能自理生活。结论：利用显微外科技术切除脊髓髓内肿瘤是目前最有效的治疗方法，能明显提高肿瘤的全切除率。同时应重视术中和术后的呼吸监测和呼吸道的管理。
Objective: To investigate the surgical treatment of cervical intramedullary tumors. Methods: The clinical, imaging findings, surgical treatment and efficacy of 73 cases of cervical intramedullary tumors were retrospectively analyzed. Results: There was no surgical death in the whole group. Twenty-two cervical intramedullary tumors before 1985 were resected in 7 cases, accounting for 31.8%. A total of 51 cases were performed from 1985 to June 1998, all of which were performed by microsurgical resection. Among them, Total resection of the tumor in 43 cases, accounting for 84.3%. During the follow-up period of 5 months to 16 years and 9 months, 11 cases were lost and 62 cases were actually followed up. Among them, 51 cases survived, 42 cases (82.3%) had resumed work and housework, 4 cases (7.8%) took care of themselves and 5 cases (9.8%) could not take care of themselves. Conclusion: Microsurgical resection of intramedullary spinal cord tumors is the most effective treatment, which can significantly improve the tumor total resection rate. At the same time should pay attention to intraoperative and postoperative respiratory monitoring and respiratory management.