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目的:分析小脑血管母细胞瘤的临床特点及治疗。方法:回顾性分析小脑血管母细胞瘤并经病理及手术证实的患者资料。结果:小脑血管母细胞瘤患者21例,发病年龄为28～57岁,男性多于女性,肿瘤位于小脑半球19例,小脑蚓部2例。21例行CT检查,囊性肿瘤19例,实质性肿瘤2例。行MRI检查13例,肿瘤为囊性者11例,实质性者2例。19例囊性结节型肿瘤中,手术行瘤结节全切除17例,大部切除2例;2例实质性肿瘤行部分切除。瘤结节部分切除加放射治疗3例。术后恢复良好20例,死亡1例。结论:本病临床表现多为颅高压症状、共济失调等。CT、MRI检查可以定位或定性。治疗首选手术切除,预后良好。
Objective: To analyze the clinical features and treatment of cerebellar hemangioblastoma. Methods: A retrospective analysis of patients with cerebellar hemangioblastoma confirmed by pathology and surgery. Results: There were 21 patients with cerebellar hemangioblastoma, the age of onset was from 28 to 57 years. There were more males than females. Tumors were located in 19 cases of cerebellum hemisphere and 2 cases of cerebellar vermis. 21 cases underwent CT examination, cystic tumors in 19 cases, 2 cases of substantial tumors. MRI examination in 13 cases, cystic tumor in 11 cases, 2 cases of substantial. In 19 cases of cystic nodular tumors, 17 cases were completely removed by surgical nodules, 2 cases were mostly removed, and 2 cases were partially resected. Tumor resection and radiotherapy in 3 cases. Postoperative recovery of good in 20 cases, 1 died. Conclusion: The clinical manifestations of the disease are mostly symptoms of intracranial hypertension, ataxia and so on. CT, MRI can be positioned or qualitative. The preferred surgical resection, the prognosis is good.