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目的 探讨显微神经外科技术在脊髓髓内肿瘤切除中的应用。方法 对 3 6例脊髓髓内肿瘤行显微神经外科切除术 ,观察手术前后症状及体征变化 ,评价对脊髓功能的影响。结果 3 6例脊髓髓内肿瘤全切除 1 7例 ,次全切除 1 5例 ,部分切除 4例。 3 0例随访 6个月至 3年 ,恢复工作和学习 1 2例 ,生活自理 1 4例 ,生活需照顾 4例。结论 显微神经外科技术明显提高脊髓髓内肿瘤的切除率 ,改善生活质量 ,是髓内肿瘤治疗的主要手段
Objective To investigate the application of microneurosurgery in the resection of intramedullary spinal cord tumors. Methods Thirty-six cases of intramedullary spinal cord tumors underwent microsurgical neurosurgical resection, and the changes of symptoms and signs before and after operation were observed to evaluate the effects on spinal cord function. Results Thirty-seven cases of intramedullary spinal cord tumors were resected in 17 cases, subtotal resection in 15 cases and partial resection in 4 cases. Thirty patients were followed up for 6 months to 3 years. 12 patients recovered from work and study, 14 patients took care of themselves and 4 patients needed care. Conclusion Microsurgical neurosurgery can significantly improve the resection rate of spinal cord intramedullary tumors and improve the quality of life, which is the main method of intramedullary tumor treatment