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目的探讨颈髓髓内血管网织细胞瘤的诊断及显微外科治疗。方法分析26例患者的MRI表现及其显微外科手术治疗的效果。其中男19例,女7例,年龄17～55岁。结果根据肿瘤在MRI上的表现可分为囊肿型12例,实体型14例,均行肿瘤全切除术。术后患者神经系统症状好转者17例,7例无改善,2例加重。结论颈髓MRI能对颈髓髓内血管母细胞瘤作出定位诊断,并可将其分型,以利选择不同的手术方法。颈髓髓内、即使累及延髓的血管母细胞瘤宜行积极手术治疗；根据肿瘤类型不同选择不同手术方法,在手术显微镜下沿正确的界面进行分离,先离断动脉后处理静脉,避免分块切除而力争全切,是减少术中出血和避免神经功能损害的关键。
Objective To investigate the diagnosis and microsurgical treatment of cervical intramedullary hemangiocytoma. Methods MRI features and microsurgery in 26 patients were analyzed. 19 males and 7 females, aged 17 to 55 years old. Results According to the performance of the tumor on MRI can be divided into cyst type in 12 cases, solid type in 14 cases, were performed total tumor resection. There were 17 cases of postoperative neurological improvement, 7 without improvement and 2 with exacerbation. Conclusion Cervical spinal cord MRI can locate the diagnosis of cervical intramedullary hemangioblastoma, and can be sub-type, to facilitate the choice of different surgical methods. Cervical medullary marrow, even involving the medullary hemangioblastoma should be active surgical treatment; according to the different tumor types choose different surgical methods, under the microscope under the microscope to separate the correct interface, the first off the veins after the treatment of veins, to avoid sub-block Excision and strive to cut, is to reduce the intraoperative bleeding and avoid nerve damage the key.