目的 探討延髓腫瘤的治療策略，以達(dá)到最佳預(yù)后。 方法 回顧分析2007年1月－2010年12月19例延髓腫瘤患者的臨床資料，其中18例經(jīng)外科手術(shù)治療和病理證實(shí)，1例通過影像學(xué)確診。 結(jié)果 12例血管網(wǎng)狀細(xì)胞瘤中，11例手術(shù)全切，1例手術(shù)次全切；2例室管膜瘤均手術(shù)全切；2例海綿狀血管瘤分別手術(shù)全切及伽馬刀治療；3例膠質(zhì)瘤均手術(shù)部分切除。18例手術(shù)治療患者術(shù)后神經(jīng)功能障礙明顯好轉(zhuǎn)者13例，無明顯變化者3例，2例因術(shù)后嚴(yán)重并發(fā)癥死亡；1例伽馬刀治療患者癥狀好轉(zhuǎn)。術(shù)后隨訪6～48個(gè)月，平均24個(gè)月。11例恢復(fù)工作，4例生活可自理，2例因腫瘤復(fù)發(fā)死亡。結(jié)論 術(shù)前通過MRI檢查、術(shù)中神經(jīng)電生理監(jiān)測(cè)及熟練的顯微外科技術(shù)是外科治療優(yōu)勢(shì)，伽馬刀治療延髓較小腫瘤有著損傷小的優(yōu)點(diǎn)，因此制定合理的治療策略有利于提高患者生存質(zhì)量。
引用本文： 郝德,楊翔,張躍康. 延髓腫瘤的臨床分析. 華西醫(yī)學(xué), 2012, 27(6): 885-888. doi: 復(fù)制
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- 2. Chang UK, ChoeWJ, Chung SK, et al. Surgical outcome and prognostic factors of spinal intramedullary ependymomas in adults[J]. J Neurooncol, 2002, 57(2): 133-139.
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- 5. Weil RJ, Lonser RR, DeVroom HL, et al. Surgical man-agement of brainstem hemangioblastomas in patients withvon Hippel-Lindau disease [J]. J Neurosurg, 2003, 98(1): 95-105.
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