| Objective: To study the microsurgical treatment and discuss the possible factors affecting outcome of intramedullary spinal cord glioma. Methods: 23 patients with intramedullary spinal cord glioma were operated at neurosurgical department in 1~st hospital of xingjiang medical university from 05/1993-07/2004. 8 ependymomas accounted for 34.78% in intramedullary spinal cord glioma with 7 total removal (87.5%), 1 subtotal removal rate (12.50%) .15 astrocytomas accounted for 65.22% with 5 total removal rate (33.33%). 5 subtotal removal rate( 33.33%) ,5 partial removal rate ( 33.3%) . They were analyzed retrospectively with regard to McCormick scale and MRI for 2-132months(median:48 months)and most patients were followed up at their home. Results: 2 Patients (8. 29%) were lost.Of 21 Patients(91.71%) who were followed up, 15 Patients (65. 22%) were alive and among them,the neurological status of 8(34. 78%)were good or improved, no change in 3 (13. 05%) and deteriora in 4 (17.39%) . 6 Patients(26.09%) died,2 years survival rate was 82.22% .Among 8 ependymomas, the neurological status of 5 (62. 50%) were good or improved, no change in 1 (12.50%) and deteriora in 1 (12.50%) , 1(12.50%) was lost, 2 years survival rate wasl00%. Among 15 astrocytomas, the neurological status of 3 (20. 00% ) were good orimproved, no change in 2 (13.33%) and deteriora in 3 (20.00%) , 1 (6.67%) was lost. 6(40.00%) died, 2 years survival rate was 66.67%. 1 Patients was lost. Conclusion : The survival of patients with intramedullary spinal cord tumors may be related to biological character,classficition,McCormick scale in pre-operation,not to patients'age and location. |
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