目的：回顾性研究４２例脊椎管内脊膜瘤的临床表现、诊断及手术治疗效果。方法：分别对椎管内脊膜瘤的部位、类型、临床表现、影像学特征和手术治疗方法进行描述。结果：３９例肿瘤全部切除，３例大部切除，术后随访３月～６年，３例复发再手术，１例术后症状加重，１例术后发生肺部感染。手术优良率达９０４８％。结论：根据临床表现、影像学特征结合病理检查能确立诊断，手术治疗是行之有效的治疗方法 Objective: To retrospectively study the clinical manifestations, diagnosis and surgical treatment of 42 cases of spinal meningiomas. Methods: The location, types, clinical manifestations, imaging features, and surgical treatment of spinal meningioma were described. RESULTS: All 39 cases were resected and 3 cases were totally resected. The follow-up period was 3 months to 6 years. Three cases relapsed and reoperation. One case had aggravated symptoms and one case had pulmonary infection. The excellent rate of surgery is 9048%. Conclusion: According to the clinical manifestations, imaging features combined with pathological examination can establish the diagnosis, surgical treatment is an effective treatment