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44例椎管内脂肪瘤的诊治临床分析

[Clinical analysis of diagnosis and treatment of 44 cases with intraspinal lipoma].

作者信息

Mai J, Liang Y, Li M

机构信息

Department of Neurosurgery, Gaozhou People's Hospital, Guangdong.

出版信息

Zhonghua Wai Ke Za Zhi. 1996 Dec;34(12):735-6.

PMID:9590774
Abstract

44 cases of intraspinal lipoma were confirmed by pathologic examination. We excised the lipomas totally or partly. After surgery, 8 cases improved greatly, 19 cases improved, 18 not improved. CT scan and MRI are the key methods for diagnosis of intraspinal lipoma, most of intraspinal lipomas are adherent to the spine and root of nerves tightly and difficult to be dissected. So it's not easy to excise the lipoma entirely. But if we use microsurgery we can get better results.

摘要

44例经病理检查确诊为椎管内脂肪瘤。我们对脂肪瘤进行了全切或部分切除。术后,8例明显改善,19例有所改善,18例无改善。CT扫描和MRI是诊断椎管内脂肪瘤的关键方法,大多数椎管内脂肪瘤与脊柱和神经根紧密粘连,难以分离。因此,完全切除脂肪瘤并不容易。但如果我们采用显微手术,会取得更好的效果。

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