脊髓内肿瘤,多位于颈、胸段,手术难度大,部分会加重脊髓功能障碍,甚至影响生命。2 0世纪5 0年代,多主张做椎管减压术,直到2 0世纪70年代激光及显微手术的应用才有很大的发展[1] 。我科自1999年以来收治颈胸段髓内肿瘤18例,在显微镜下17例得到了全切除,1例次全切除,效果较好。临 Spinal cord tumors, mostly in the neck, thoracic segment, the operation is difficult, some will aggravate spinal cord dysfunction, and even affect life. In the 1950s, many advocated the decompression of spinal canal, until the 20th century, 70 years of laser and microsurgery applications have great development [1]. Since 1999, our department has treated 18 cases of cervical thoracic intramedullary tumors, under the microscope 17 cases were fully resected, 1 case subtotal resection, the effect is better. Pro