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本文对1956~1985年中61例脑血管网状细胞瘤作了手术切除。年龄在9~55岁之间,20岁以下仅2例。肿瘤好发于小脑、大脑,较少发生在脊髓、肝脏等部位。本病为散发性,但有4~20%病人有阳性家族史,本组发现3例,占4.9%。脑室造影、血管造影以及 CT 检查能明确病变部位,呈现出肿瘤特征。(1)根据肿瘤染色分成四种类型,囊性、实性+囊性、实性以及根据显微镜下肿瘤分为复合型。(2)肿瘤有1~2根供应动脉以及引流静脉,肿瘤供血情况为外科手术提供了依据。术后所有病人均获得了病理证实,对临床、红血球增多原因、神经放射学的发现及手术结果等本文都作了简要讨论。
This article from 1956 to 1985 in 61 cases of cerebral vascular reticular tumor surgery. The age of 9 to 55 years old, only two cases under the age of 20. Tumors occur in the cerebellum, brain, less in the spinal cord, liver and other parts. The disease is sporadic, but 4 to 20% of patients have a positive family history, the group found 3 cases, accounting for 4.9%. Ventriculography, angiography and CT examination can identify the lesion, showing tumor characteristics. (1) According to the tumor staining is divided into four types, cystic, solid + cystic, solid and under the microscope tumor is divided into complex type. (2) There are 1 to 2 tumors supplying the artery and drainage veins, and the tumor blood supply provides the basis for surgery. All patients were pathologically confirmed, the clinical, the reasons for the increase of red blood cells, the findings of neuroradiology and surgical results were briefly discussed in this article.