CAJ | 학술논문

目的总结椎管内占位病变的诊断与治疗经验.方法对83例椎管内占位病变患者行CT、MRI检查确诊,采用显微手术切除,并观察其康复和远期疗效.结果 83例椎管内占位病变患者均行显微手术治疗,将病灶全部切除,术后顺利恢复,无严重并发症及死亡病例.随访1～5年,除1例胶质瘤和1例包虫病复发行二次手术治疗外,其余病例恢复良好.结论当患者确诊为椎管内占位病变后,应及时进行显微手术切除治疗,且创伤小、恢复快、疗效好.
목적 총결추관내점위병변적진단여치료경험.방법 대83례추관내점위병변환자행CT、MRI검사학진,채용현미수술절제,병관찰기강복화원기료효.결과 83례추관내점위병변환자균행현미수술치료,장병조전부절제,술후순리회복,무엄중병발증급사망병례.수방1～5년,제1례효질류화1례포충병복발행이차수술치료외,기여병례회복량호.결론 당환자학진위추관내점위병변후,응급시진행현미수술절제치료,차창상소、회복쾌、료효호.
Objective To summarize the experience of treating 83 patients who have lntraspinal occupying lesions so as to give the effective treatment. Methods We confirmed 83 cases of intraspinal occupying lesions by CT or MRI examination, removed the lesion by using micro-surgery treatment, and observed the clinical recovery and long-term effect. Results 83 cases of intraspinal lesions were total treated with microsurgical surgery, without serious complications and death. Follow-up 1-5 years, except two cases of lumbodoral pain, one case of hydatid disease and one case of glioma relapse which were needed second operation, the remainders recovered well. Concllusions When the patients diagnosed with intraspinal occupying lesions they should conceive microsurgical treatment early and it can be lower operative damage, rapid recovery and satisfactory curative effect.