CAJ | 학술논문

目的：探讨脊髓肿瘤的手术治疗技巧。方法选取2012年3月～2014年3月收治的脊髓肿瘤患者21例临床手术方法进行分析。结果肿瘤全切除18例，其中髓外12例，髓内6例，肿瘤次全切除3例，髓内1例，髓外2例。经治疗神经功能状态改善，肌力增加或症状缓解16例，肌力或感觉症状变化不明显3例，肌力降低，感觉括约肌功能症状加重2例。结论脊髓肿瘤仍以手术切除为主。椎板减压术具有缓解脊髓压迫的姑息治疗效果。手术对恶性髓内肿瘤的治疗作用有限。尽管手术切除髓内转移性肿瘤可使症状明显缓解，但对原发性恶性髓内肿瘤却疗效不好。
목적：탐토척수종류적수술치료기교。방법선취2012년3월～2014년3월수치적척수종류환자21례림상수술방법진행분석。결과종류전절제18례，기중수외12례，수내6례，종류차전절제3례，수내1례，수외2례。경치료신경공능상태개선，기력증가혹증상완해16례，기력혹감각증상변화불명현3례，기력강저，감각괄약기공능증상가중2례。결론척수종류잉이수술절제위주。추판감압술구유완해척수압박적고식치료효과。수술대악성수내종류적치료작용유한。진관수술절제수내전이성종류가사증상명현완해，단대원발성악성수내종류각료효불호。
Objective The surgical treatment skil of spine cord tumors is to be investigated. Methods Analyze the clinical surgery principle and surgical procedures data selected from 21 patients with spine cord tumors who are treated in hospital from March 2012 to March 2014. Results Of al 21 cases, there are 18 cases of total tumor resection including 12 cases of extramedul ary tumor resection and 6 cases of intramedul ary tumor resection, and there are 3 cases of subtotal tumor resection including 1 cases of intramedul ary tumor resection and 2 cases of extramedul ary tumor resection. The patients’ neurological condition has been improved after treatment, and what’s more, 16 cases of patients have strengthened muscular and al eviated the il ness symptoms, but 3 patients didn’t have their muscular or sensory condition bettered significantly. And the other 2 cases of patients have their muscle strength decreased and have the sphincter symptoms worsened. Conclusion The surgical treatment is stil the most favorable approach to cure spine cord tumor. Laminectomy is effective to relieve spine cord compression symptom. However, the surgical treatment exerts a limited influence on curing malignant intramedul ary tumor. Even if the surgical treatment of intramedul ary metastatic tumor is conducive to relieving il ness symptoms, it is of little efficiency to cure primary malignant tumor.