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我院自1983年开展经股动脉插管选择性脊髓血管造影以来,对7例脊髓占位病变进行造影,除1例因肿瘤压迫使脊髓前动脉未显影外,余6例脊髓前动脉均有移位改变,现将此6例报道如下:例1:患者,女,43岁。脊髓血管造影见脊髓前动脉从第一腰椎开始向上呈波浪状向左侧移位,手术行胸_(11)—腰_2椎板切开探查,发现脊髓内偏右有鱼肉样肿瘤组织,其下界在第一腰椎,病理报告为脊髓内转移癌。例2:患者,男,32岁。脊髓血管造影见脊髓前动脉从第10胸椎向下斜行,向左移位手术发现胸_(11)—_(12)右侧硬膜下有3×2×1 cm 肿物,病理报告为神经鞘瘤。
In our hospital since 1983 through the femoral artery catheterization selective spinal angiography since 7 cases of spinal lesions were imaging, in addition to a case of tumor oppression anterior spinal artery was not developed, the other 6 cases of anterior spinal cord artery Shift changes, now 6 cases reported as follows: Example 1: The patient, female, 43 years old. Spinal angiography see the anterior spinal cord artery from the first lumbar wave was upward to the left shift, chest surgery _ (11) - lumbar _2 laminectomy exploration and found that there is right side of the spinal cord fish-like tumor tissue, The lower bound in the first lumbar spine, pathological report of spinal cord metastases. Example 2: Patient, male, 32 years old. Spinal angiography showed anterior spinal cord anterior oblique oblique downward from the 10th thoracic surgery, the left shift surgery found chest _ (11) -_ (12) right subdural 3x2x1 cm tumor, the pathological report was Schwannoma.