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总结华山医院(1989年8月～1996年12月)收治的115例血管母细胞瘤病例,其中有详细病史者77例,包括囊性肿瘤43例,实质性肿瘤34例.诊断主要依靠CT、MRI和DSA.77例详细病史者均手术治疗,其中囊性肿瘤全切42例,术后症状改善41例、不变2例;实质性肿瘤全切29例、次全切除5例,术后症状改善24例、不变或加重4例、死亡6例.结果提示,CT和(或)MRI、DSA是CNS血管母细胞瘤诊断的必要手段,手术全切是最佳治疗方案,术前栓塞和术后放疗或立体定向放射外科是有效的辅助治疗方法.
Summary 115 cases of patients with hemangioblastoma admitted from Huashan Hospital (August 1989 to December 1996), including 77 cases with a detailed history, including 43 cystic tumors and 34 solid tumors.The diagnosis mainly depends on CT, MRI and DSA.77 cases of detailed history were treated surgically, of which 42 cases of cystic tumor resection, 41 cases of postoperative improvement, unchanged in 2 cases; substantial tumor resection in 29 cases, subtotal resection in 5 cases, postoperative The symptoms improved in 24 cases, unchanged or aggravated in 4 cases, 6 died.The results suggest that CT and / or MRI, DSA is necessary for the diagnosis of CNS hemangioblastoma, total removal is the best surgical treatment, preoperative embolization And postoperative radiotherapy or stereotactic radiosurgery is an effective adjuvant treatment.