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目的 评价放射治疗和综合治疗在椎体血管瘤治疗中的地位和作用。方法 回顾性分析 2 2例有症状椎体血管瘤临床症状、影像学表现、治疗方法以及治疗后随访情况。结果 本组 2 2例单纯放疗 10例 ,综合治疗 12例 ,治疗后 19例症状完全缓解 ,3例部分缓解 ,无明显并发症及恶性变 ,无治疗后复发。结论 对脊椎血管瘤采用术前介入法栓塞供血动脉并椎体减压术结合术后放疗的综合治疗方法具有快速缓解压迫、减少术中出血、疗效确切的优势。
Objective To evaluate the role and status of radiotherapy and comprehensive treatment in the treatment of vertebral hemangiomas. Methods Retrospective analysis of 2 cases of symptomatic vertebral hemangiomas clinical symptoms, imaging findings, treatment and follow-up after treatment. Results The group of 22 cases of simple radiotherapy in 10 cases, 12 cases of comprehensive treatment, 19 cases of complete remission of symptoms, 3 cases of partial remission, no significant complications and malignant transformation, no recurrence after treatment. Conclusion The comprehensive treatment of spondyloma angioma by preoperative interventional embolization of the feeding arteries and vertebral decompression combined with postoperative radiotherapy has the advantages of rapid relief of oppression and reduction of intraoperative bleeding, the exact effect.