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32例低位椎管内肿瘤的诊治分析

Hits: 2197 Download times: 1417 Received:September 23, 2002

作者	Author	单位	Unit	E-Mail
杨明	YANG Ming	浙江大学医学院第二医院骨科,浙江杭州310009	Department of Trauma and Orthopaedics,the 2nd Affiliated Hospital of Zhejiang University，Zhejiang Hangzhou 310009
陈正形	CHEN Zhengxing	浙江大学医学院第二医院骨科,浙江杭州310009	Department of Trauma and Orthopaedics,the 2nd Affiliated Hospital of Zhejiang University，Zhejiang Hangzhou 310009
端木群力	DUANMU Qunli	杭州市第三人民医院骨科
黄东辉		杭州市第三人民医院骨科

期刊信息：《中国骨伤》2003年16卷，第6期，第323-325页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的:提高椎管内肿瘤诊断的准确率及疗效。

方法:对收治的T10椎体节段以下的低位椎管内肿瘤32例患者均予手术切除,全部切除27例,部分切除5例。

结果:32例中早期误诊15例。术后随访6个月～3年,29例恢复日常生活与工作,3例下肢肌力及感觉减弱,无一例复发。

结论:以临床特征为基础,配合X线片、腰穿脑脊液检查、MRI检查可降低低位椎管内肿瘤的误诊率,原发性椎管内肿瘤一经诊断,应尽早手术。

[关键词]:椎管肿瘤外科手术

Clinical analysis of tumor in low level spinal canal in 32 cases

Abstract:

Objective: To improve the diagnostic accuracy and cure effect of low level intraspinal tumor

Methods: 32 cases of intraspinal tumor below T 10 vertebra were treated using surgical method,27 cases with total resection and 5 cases with subtotal resection.

Results: 15 patients were misdiagnosised in early course.All the cases were followed up from 6 months to 3 years.29 cases had recovered daily life,sensation and muscle strength of lower limb decline in 3 cases.

Conclusion: Misdiagnosis rate of the tumor can be reduced basing on clinical manifestation,with assistance of X-ray,cerebrospinal fluid and MRI.MRI is the best way for the diagnosis.The tumor must be removed as early and entirely as possible and good effect can be received.

KEYWORDS:Spinal canal Neoplasms Surgery,operative

引用本文，请按以下格式著录参考文献：

中文格式:	杨明,陈正形,端木群力,黄东辉.32例低位椎管内肿瘤的诊治分析[J].中国骨伤,2003,16(6):323~325
英文格式:	YANG Ming,CHEN Zhengxing,DUANMU Qunli.Clinical analysis of tumor in low level spinal canal in 32 cases[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(6):323~325

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