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目的 :探索脊髓髓内脂肪瘤的诊断和治疗。方法 :对 2例脊髓髓内脂肪瘤 MRI的表现及手术中所见进行比较。结果 :两例脊髓髓内脂肪瘤 CT或 MRI诊断为硬脊膜下脂肪瘤 ,手术证实为脊髓内脂肪瘤 ,在手术显微镜下作脂肪瘤大部分切除。结论 :脊髓髓内脂肪瘤的诊断依赖于其临床表现及 MRI影像学检查 ,由于脊髓髓内脂肪瘤与正常脊髓无明显分界 ,故只能作大部分切除。
Objective: To explore the diagnosis and treatment of spinal intramedullary lipoma. Methods: MRI findings of 2 cases of spinal intramedullary lipoma were compared with those of the operation. RESULTS: Two cases of spinal intramedullary lipoma were diagnosed as subdural lipoma by CT or MRI. The operation was confirmed as intramedullary lipoma, which was resected under the operating microscope for most of the lipomas. Conclusion: The diagnosis of spinal intramedullary lipoma depends on its clinical manifestations and MRI imaging. Because there is no obvious demarcation between spinal intramedullary lipoma and normal spinal cord, it can only be excised for the most part.