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有关儿童颅内室管膜瘤的最佳治疗仍有较大争论。为评定肿瘤位置、组织学类型、治疗手段对结果的影响,作者报道了1975～1989年80例资料完整者的治疗经验。男45例,女35例,年龄4个月～15.6岁,中位数3岁。17例肿瘤位于幕上,幕下63例,其中32例扩展至颈椎。依手术发现分别达C_1(5例)、C_2(15例)、C_3(7例)、C_4(2例)及C_5(3例)下缘。术前分期中68例作了CT,7例作了MRI,5例影象学结果不明。45例作了CSF检查,24例作了脊髓造影或MRI,其中4例CSF细胞学阳性,1例有脊柱转
The best treatment of children with intracranial ependymoma is still much controversy. To assess the location of the tumor, the histological type and the effect of the treatment on the outcome, the authors reported the treatment experience of 80 patients with complete data from 1975 to 1989. 45 males and 35 females, aged 4 months to 15.6 years old, the median 3 years old. 17 cases of tumor located in the screen, 63 under the screen, of which 32 cases extended to the cervical spine. The lower margin of C_1 (5 cases), C_2 (15 cases), C_3 (7 cases), C_4 (2 cases) and C_5 (3 cases) were found by operation. Preoperative staging in 68 cases made CT, 7 cases of MRI, 5 cases of imaging results unknown. Forty-five patients underwent CSF examination, 24 patients underwent myelography or MRI, of whom 4 had cytology positive and 1 had spondylolisthesis