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报告经手术和病理证实的颈椎椎管内(颈髓3~8)良性肿瘤80例,其中神经纤维瘤68例,脊膜瘤12例,以硬膜下及亚铃型居多,76%累及颈髓2~3个节段,而神经纤维瘤的半数是以颈髓5~6为中心。本组近半数以颈神经根痛为首发症状,神经纤维瘤更多见,其与肢体麻木,力弱和肌萎缩均有一定的定位意义,神经纤维瘤者多有椎间孔扩大,辅助检查以脊髓碘油造影确诊率最高。本组术后复发者占17.5%,复发的神经纤维瘤均为亚铃型。
Reported 80 cases of cervical spinal cord (cervical spinal cord 3-8) benign tumors confirmed by operation and pathology, including 68 neurofibroma and 12 meningeal tumors, mostly subdural and sub-bellied, and 76% 2 to 3 segments of the pulp, and neurofibromatosis is half of the cervical spinal cord 5-6 as the center. Nearly half of this group of cervical nerve root pain as the first symptom, neurofibroma more common, with limb numbness, weakness and muscle atrophy have a certain significance of location, many have neurofibromatosis foraminal expansion, auxiliary examination Spinal iodine oil imaging diagnosis of the highest rate. This group of postoperative recurrence accounted for 17.5%, recurrence of neurofibromas are sub-bell-type.