CAJ | 학술논문

目的探讨高颈段脊髓髓内肿瘤的显微外科治疗方法及临床疗效.方法对12例高颈段脊髓髓内肿瘤的临床特点及显微手术治疗效果进行回顾性分析.结果全组无死亡病例,12例患者中,全切除10例,包括8例室管膜瘤、2例星形细胞瘤;次全切除2例,为星形细胞瘤.术后3月McCormick临床神经功能分级,8例患者比术前改善1级,4例患者保持不变.9例患者术后随访1～3年,8例全切除者未见肿瘤复发.结论积极施行显微外科手术切除肿瘤是目前高颈段脊髓髓内肿瘤的最佳治疗方案.
목적 탐토고경단척수수내종류적현미외과치료방법급림상료효.방법 대12례고경단척수수내종류적림상특점급현미수술치료효과진행회고성분석.결과 전조무사망병례,12례환자중,전절제10례,포괄8례실관막류、2례성형세포류;차전절제2례,위성형세포류.술후3월McCormick림상신경공능분급,8례환자비술전개선1급,4례환자보지불변.9례환자술후수방1～3년,8례전절제자미견종류복발.결론적겁시행현미외과수술절제종류시목전고경단척수수내종류적최가치료방안.
Objective To evaluate the curative effect of nucrosurgery for intramedullary tumor in the superior cervical spinal cord, Methods The clinical manifestations, nucrosurgical methods and results were reviewed retrospectively in 12 patients with intramedullary tumors in the superior cervical spinal cord. Results No death occurred in these cases after the operations.The intramedullary tumors were totally resected in 10 patients including 8 with ependymomas and 2 with astrocytomas, and subtotally in 2 patients with astrocytomas. The spinal functions ofpatients, graded by McCormick scale system 3 months after the operations, were improved in 8 cases and remained unchanged in 4 cases. Nine patients were followed up for 1-3 years after the operations, and no tumor recurrence was found in 8 cases with total tumor resection. Conclusion Radical microneurosurgery is currently the best choice for the treatment of intradullary tumor in the superior cervical spinal cord.