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为了提高对颅内海绵状血管瘤的认识与手术治疗的效果,作者报告了根据症状与组织学确诊的18例颅内海绵状血管瘤患者的治疗体会。临床表明可分为三组:5例以抽搐为主,6例以出血为主,7例为占位性政变。CT是手术治疗的最好参考。12例行肿瘤全切除术,6例行部分切除,1例死于术后脑水肿。作者进行随访2～12年(平均8.9年),2例并发术后轻瘫,3例近脑室、鞍区及基底节附近的肿瘤在部分切除后
In order to improve the understanding of intracranial cavernous hemangiomas and the effect of surgical treatment, the authors report on the treatment of 18 patients with intracranial cavernous hemangiomas diagnosed on the basis of symptoms and histology. Clinical manifestations can be divided into three groups: 5 cases of convulsions, 6 cases of bleeding, 7 cases for the occupational coup. CT is the best reference for surgical treatment. Total tumor resection was done in 12 cases, partial resection in 6 cases, and cerebral edema in 1 case. The authors were followed up for 2 to 12 years (mean, 8.9 years). Two patients developed postoperative paresis. Three tumors in the near ventricles, sella and basal ganglia were partially resected