椎管内肿瘤78例诊治体会(3)
 |
| 第1页 |
参见附件(2925KB，4页)。
总之，椎管内肿瘤在神经系统内肿瘤中占一定比例，而其症状和体征早期常常隐匿，容易漏诊和误诊，应引起临床医师的高度重视，以往常在出现较严重的脊髓压迫症状后才得以确诊，但近年来随着MRI的广泛应用，椎管内肿瘤得以早期定位、定性诊断。手术是治疗椎管内肿瘤的根本方法，应该想尽一切办法，在保护好脊髓，使脊髓不致因手术等因素加重损伤的前提下，彻底切除肿瘤，达到治愈目的。肿瘤的部位及大小、早期诊断及手术、合适的体位和手术入路、娴熟的显微外科操作、术中麻醉方式及妥善的术后处理是影响椎管内肿瘤疗效的关键因素。
[参考文献]
[1]Greenberg MS. Handbook of Neurosurgery[M].5th ed. New York: Thieme， 2001.
[2]Hufana V， Tan JS， Tan KK. Microsurgical treatment for spinal tumours[J]. Singapore Med J,2005,46(2):74-77.
[3]Rengachary SS. Neurosurgery[M].2nd ed. New York: McGraw-Hill,1996. 1769-1981.
[4]Gelabert-González M，Primary spinal cord tumours. An analysis of a series of 168 patients[J].Rev Neurol,2007,44(5):269-274.
[5]Gezen F,Kahraman S,Canakci Z,et al. Review of 36 cases of spinal cord meningioma[J].Spine,2000,25(6):727-731.
[6]Khanna AJ,Shindle MK,Wasserman BA,et al.Use of magnetic resonance imaging in differentiating compartmental location of spinal tumors[J]. Am J Orthop,2005,34(10):472-476.
[7]George B,Lot G.Neurinomas of the first two cervical nerve roots: a series of 42 cases[J].Neurosurg,1995,82:917-923.
[8]Slin'ko EI,Al-Qashqish Ⅱ. Intradural ventral and ventrolateral tumors of the spinal cord: surgical treatment and results[J].Neurosurg Focus,2004,17(1):ECP2.
[9]Hoshimaru M,Koyama T,Hashimoto N,et al.Results of microsurgical treatment for intramedullary spinal cord ependymomas: analysis of 36 cases[J].Neurosurgery,1999,44(2):264-269.
(收稿日期：2008-03-17)
注：本文中所涉及到的图表、注解、公式等内容请以PDF格式阅读原文
您现在查看是摘要介绍页，详见PDF附件(2925KB，4页)。