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本文报告了1980年9月～1987年12月经手术病理证实的颅内血管网状细胞瘤46例,其中幕下肿瘤42例(91.3％),幕上3例(6.5％),松果体区1例(2.2％)。CT扫描分为:Ⅰ型(囊型)4例(8.7％),Ⅱ型(囊腔结节型)19例(41.3％),Ⅲ型(实体型)20例(43.5％),Ⅳ型(瘤内囊型)3例(6.5％)。4例实体肿瘤行脑血管造影,表现为多血性肿瘤血管团,无颅外供血。23例Ⅰ、Ⅱ型患者均行瘤结节切除,23例Ⅲ、Ⅳ型患者有17例全切,2例大部切除,4例活检。术后死亡6例(13.0％)。作者还对本病的诊断和治疗进行了讨论。
In this paper, we report 46 cases of intracranial vascular reticular neoplasia confirmed by surgery and pathology from September 1980 to December 1987. Among them, 42 cases (91.3%) had supratentorial tumors, 3 cases (6.5%) had supratentorial tumors, 1 Example (2.2%). CT scans were classified into 4 types (8.7%) of type Ⅰ (cystic), 19 (41.3%) of type Ⅱ (cystic nodular), 20 (43.5%) of type Ⅲ Tumor capsule) in 3 cases (6.5%). 4 cases of solid tumor cerebral angiography, manifested as bloody tumor blood vessels, non-extracranial blood supply. Thirty-three patients with type Ⅰ and type Ⅱ underwent resection of tumor nodules, 17 of 23 patients with type Ⅲ and type Ⅳ were completely resected, 2 were mostly resected and 4 were biopsied. Postoperative death in 6 cases (13.0%). The author also discussed the diagnosis and treatment of the disease.