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目的 探讨脊髓海绵状血管瘤的诊断和治疗方法以指导临床。 方法 回顾分析 2 3例脊髓髓内海绵状血管瘤患者的临床特征、诊断和治疗方法 ,并采用Aminoff&Logue评分标准评价患者术前术后的脊髓功能。 结果 2例患者拒绝手术而保守治疗 ,2 1例手术治疗 ,术后病理证实为海绵状血管瘤。血管瘤全切除 18例 ,次全切除 3例。术后患者症状好转 15例 ,无变化 4例 ,加重 2例 ,无手术死亡。 结论 MRI对脊髓海绵状血管瘤诊断的特异性高 ,手术治疗效果好 ,有症状者应积极手术。
Objective To investigate the diagnosis and treatment of cavernous hemangiomas in the spinal cord to guide clinical practice. Methods The clinical features, diagnosis and treatment of 23 intramedullary cavernous hemangiomas in the spinal cord were retrospectively analyzed. The spinal cord function of the patients was evaluated by Aminoff & Logue score. Results Two patients refused to surgery and conservative treatment, 21 cases of surgical treatment, postoperative pathology confirmed cavernous hemangioma. Total resection of hemangioma in 18 cases, subtotal resection in 3 cases. After surgery, 15 patients improved symptoms, no change in 4 cases, aggravated in 2 cases, no operative death. Conclusion MRI has high specificity for the diagnosis of cavernous hemangioma of the spinal cord and good surgical treatment. Symptomatic patients should be actively operated.