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目的 总结颅内海绵状血管瘤的临床特点和应用ellman射频电波刀治疗的体会。方法 回顾与分析我们自 2 0 0 1年 6月～ 2 0 0 3年 5月共 2年间手术治疗的 2 1例颅内海绵状血管瘤 ,在显微镜下 ,采用ellman射频电波刀进行血管肿瘤切除。结果 根据头颅CT、MRI及手术所见将 2 1例患者分为 2种类型 ,Ⅰ型 :19例 ,病变位于脑内 ,均获得镜下全切除 ,术后症状获得不同程度改善 ;Ⅱ型 :2例 ,病变位于脑外 ,获得镜下大部分切除 ( 1例术前给予放射治疗 )。结论 正确诊断颅内海绵状血管瘤、以及恰当的手术治疗是获得良好预后的基础
Objective To summarize the clinical features of intracranial cavernous hemangiomas and the experience of using ellman radiofrequency knife. Methods We retrospectively analyzed and analyzed 21 cases of intracranial cavernous hemangiomas surgically treated between June 2001 and May 2003 in a total of 2 years. The tumor was excised by ellman radiofrequency ablation under a microscope . Results According to skull CT, MRI and surgical findings, 21 patients were divided into 2 types, type Ⅰ: 19 cases, the lesions were located in the brain, were undergone total resection, postoperative symptoms were improved to varying degrees; Ⅱ: In 2 cases, the lesion was located outside the brain, and most resection was obtained under the microscope (one patient was given radiotherapy before surgery). Conclusion Correct diagnosis of intracranial cavernous hemangiomas, and appropriate surgical treatment is the basis for good prognosis