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目的:探讨脑内型海绵状血管瘤(CA)的诊断和显微手术治疗效果。方法:回顾性分析2007年5月至2010年10月收治的43例经病理证实的脑内型海绵状血管瘤患者。结果:全部病例术前均行头颅MRI或CT检查,其中30例MRI检查结果为海绵状血管瘤,与病理结果相符,4例MRI检查结果与病理结果不相符。其他9例CT检查结果为脑内血肿。显微手术全部切除海绵状血管瘤,手术无死亡,效果满意。结论:MRI对脑内型海绵状血管瘤的诊断具有较高的敏感度和特异度。对于有明显临床表现的脑内型海绵状血管瘤患者,采用显微手术切除病灶,可获得良好的治疗效果。
Objective: To investigate the diagnosis and microsurgical treatment of intracapsular cavernous hemangioma (CA). Methods: Forty-three patients with pathologically confirmed intracerebral cavernous hemangiomas were retrospectively analyzed from May 2007 to October 2010. Results: All patients underwent cranial MRI or CT preoperatively. Among them, 30 cases of cavernous hemangiomas were detected by MRI, which was consistent with the pathological findings. The findings of 4 cases did not accord with the pathological findings. The other nine cases of CT examination results for intracerebral hematoma. Microsurgical resection of cavernous hemangioma, no death, the effect is satisfactory. Conclusion: MRI has high sensitivity and specificity for the diagnosis of intracranial Cavernous hemangioma. For obvious clinical manifestations of intracapsular cavernous hemangioma patients, the use of microsurgical resection of the lesion can be a good therapeutic effect.