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报告经手术与组织学检查证实颈段哑铃形椎管肿瘤35例,占同期颈段椎管肿瘤28%。35例均Ⅰ期手术,无手术死亡病例。行肿瘤全切除33例,29例为神经鞘膜瘤。术后30例得到8个月~17年的随访且结果满意:其中23例恢复原来工作,5例自理生活及2例仍需他人照料。MRI成像较MG、CT更为理想,可提供较大空间分辨,有助于精确定位和定性。手术在椎管内、外肿瘤暴露困难时,T型切开硬脊膜以及敞开椎间孔采用显微技术将有助于哑铃形肿瘤全切除
The report confirmed by surgery and histological examination of cervical dumbbell spinal canal tumors in 35 cases, accounting for 28% of cervical canal tumors over the same period. 35 cases were stage Ⅰ surgery, no surgical deaths. Tumor resection in 33 cases, 29 cases of neurinoid tumor. Thirty patients were followed up for 8 months to 17 years and were satisfied with the results. Among them, 23 returned to their original jobs, 5 had self-care life and 2 still needed care. MRI imaging is more ideal than MG, CT, can provide a larger spatial resolution, help to pinpoint and characterize. Surgery in the spinal canal, external tumor exposure difficulties, T-cut dura mater and open foramen using microscopic techniques will help dumbbell tumor resection