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目的 提高颅后窝血管网织细胞瘤的诊疗水平。 方法 回顾总结 3 1例颅后窝血管网织细胞瘤诊断方式及显微外科手术治疗效果。 结果 3 1例肿瘤 (囊性 2 3例 ,实性 8例 ) ,全切除 3 0例(囊性 2 3例 ,实性 7例 ) ,次全切除 1例 (实性 1例 ) ,术后神经功能明显改善 2 7例 (囊性 2 3例 ,实性 4例 ) ,加重 3例 (均为实性肿瘤 ) ,死亡 1例 (实性 )。随访期间有 3例复发 (囊性 1例 ,实性 2例 ,其中 1例实性为颈髓段再发 )。 结论 明确肿瘤解剖关系及血供情况 ,囊性肿瘤采用锁孔入路 ,实性肿瘤骨窗开颅 ,采用显微外科技术是提高疗效的重要方法
Objective To improve the diagnosis and treatment of posterior fossa vascular retinoblastoma. Methods The diagnosis and microsurgical treatment of 31 cases of posterior fossa vascular retinoblastoma were retrospectively reviewed. Results 31 cases of tumor (cystic 23 cases, solid in 8 cases), total removal of 30 cases (cystic 23 cases, solid in 7 cases), subtotal resection in 1 case (solid in 1 case), postoperative Nerve function improved significantly in 27 cases (cystic 23 cases, solid in 4 cases), aggravated in 3 cases (all solid tumors) and died in 1 case (solid). During the follow-up period, there were 3 cases of recurrence (cystic 1, solid 2 cases, of which 1 case of solid cervical segment recurrence). Conclusions A clear tumor anatomy and blood supply, cystic tumors with keyhole approach, solid tumor craniotomy craniotomy, the use of microsurgery is an important method to improve the efficacy