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目的 :探讨脊髓血管母细胞瘤的诊断与治疗方法。方法 :分析 30例脊髓血管母细胞瘤的MRI、DSA的影像学特点 ,总结栓塞、手术的操作技巧和治疗结果。结果 :脊髓血管母细胞瘤MRI表现为边界清楚的实性占位、增强后明显均匀强化。DSA表现为边界清楚、圆形、椭圆形高密度影 ,有明确供血动脉。直接手术 1 2例 ;栓塞后手术 1 8例。术后功能恢复正常 2 2例 ;生活自理 3例 ;需他人照顾 5例。全切除 2 5例 ;次全切除 5例。结论 :栓塞可以降低血管母细胞瘤的血液供应 ,提高治愈率 ,扩大手术适应证
Objective: To investigate the diagnosis and treatment of spinal hemangioblastoma. Methods: The imaging features of MRI and DSA in 30 cases of spinal hemangioblastoma were analyzed, and the embolization, operation skills and treatment results were summarized. Results: The MRI of spinal hemangioblastoma showed a clear and definite space occupying, which was obviously enhanced after the enhancement. DSA showed a clear boundary, round, oval high-density shadow, there is a clear supply artery. Direct surgery in 12 cases; 18 cases of postoperative embolization. Postoperative functional recovery of normal 2 2 cases; 3 cases of self-care; take care of 5 cases. Total resection 25 cases; subtotal resection in 5 cases. Conclusion: Embolism can reduce the blood supply of hemangioblastoma, improve the cure rate and expand the indication of operation