论文部分内容阅读
目的总结脊髓血管母细胞瘤的诊断和手术治疗经验,探讨其诊断治疗方法。方法回顾性分析近10年来显微外科手术治疗12例脊髓血管母细胞瘤的临床资料。结果12例脊髓血管母细胞瘤MRI均表现为边界清楚的、增强后明显均匀强化的脊髓内占位。DSA表现为富血供肿瘤染色影。12例患者均经手术全切除病变,病理学诊断为血管母细胞瘤;术后运动及感觉障碍改善7例,无变化3例,即刻加重1个月内恢复2例;无手术死亡病例。随访6～60个月,无一例复发。结论脊髓血管母细胞瘤手术治疗效果好,有症状者应早期手术治疗。
Objective To summarize the experience of diagnosis and surgical treatment of spinal hemangioblastoma and to explore its diagnosis and treatment. Methods The clinical data of 12 cases of hemangioblastoma treated by microsurgery in the past 10 years were retrospectively analyzed. Results All of the 12 cases of spinal hemangioblastoma presented with clearly defined borderline and enhanced intraspinal space. DSA showed blood-rich tumor staining. All 12 patients undergone total resection of the lesions by pathology were diagnosed as hemangioblastoma. Seven cases had improvement of motor and sensory disturbances after operation. There was no change in 3 cases. Two cases recovered immediately within 1 month. No operative death was found. Follow-up 6 to 60 months, no case of recurrence. Conclusion Spinal cord hemangioblastoma surgery is effective, symptomatic patients should be early surgical treatment.