论文部分内容阅读
血管母细胞瘤,是一良性血管肿瘤,以往诊治较困难,如术前经脊髓血管造影及栓塞术,应用显微手术可以提高诊断水平及治愈率。本文对301医院1984—1989年所行76例次脊髓血管造影中4例为脊髓髓内血管母细胞瘤现报告如下。1 病例报告例1 男,31岁。右上肢麻木6年,大小便障碍1月入院,检查:右Horner 氏综合征,右C_3～T_4、左T_4以下痛觉减退,右上下肢肌力2～3级。双Babinkin(+)。脊髓腔造影(-)。经股动脉作双椎动脉、颈深动脉造影,示C_2～5髓内血管团影,双椎动脉分支和椎以动脉肌支供血。肿瘤大部由脊髓后动脉供血,肿瘤上极由脊髓前动脉供血,中部颈深动脉分支供血。显微手术下肿瘤紫色,引流静脉粗大向上入颅,阻断瘤供血动脉,完整切除肿瘤。术后神经功能改善。
Hemangioblastoma, is a benign vascular tumor, the past diagnosis and treatment more difficult, such as preoperative spinal angiography and embolization, the application of microsurgery can improve the diagnostic level and cure rate. In this paper, 301 hospitals from 1984 to 1989 in 76 cases of spinal cord angiography in 4 cases of spinal cord intramedullary hemangioblastoma are as follows. 1 case report 1 male, 31 years old. Right upper limb numbness 6 years, urine and admission in January, check: Right Horner’s syndrome, right C_3 ~ T_4, left below T_4 pain decreased, upper right and lower limb muscle strength 2 to 3. Double Babinkin (+). Spinal cavity contrast (-). The femoral artery for double vertebral artery, deep neck angiography, showing C_2 ~ 5 intramedullary vascular group shadow, branch of the vertebral artery and vertebral artery muscle supply. Most of the tumor from the posterior spinal artery blood supply, the tumor by the anterior spinal cord anterior artery, middle artery and neck artery blood supply. Microsurgery under the tumor purple, drained veins rough up into the skull, blocking the tumor feeding artery, complete removal of the tumor. Postoperative neurological function improved.