摘要
从１９８４年至１９９３年，做３００余例脊髓血管造影，检出１３例脊髓血管母细胞瘤。９例肿瘤位于颈部，４例位于胸部和胸腰部。血管造影的主要特征是肿瘤为实质性肿块，有丰富的血管床，由多簇扩张的毛细血管团组成，有明确包膜，与正常脊髓有清楚的边界。除１例外均行肿瘤切除。７例栓塞后可明显减少肿瘤血供，减少张力，便于烧灼分离，手术成功率明显提高。其中１０例全切除，２例次全切除，７例恢复正常，１例明显改善，４例维持术前水平。
Abstract The author has performed more than 300 cases of spinal angiography from 1984 to 1993 and detected 13 cases of spinal hemagioblastoma. There were 8 males and 5 females,Aged ranging from 20 to 44 years. 9 cases show tumor located in cervical cord and 4 cases in thoracic or thoraco-lumbar cord. Angiography proves that the tumors are all solid mass in which a rich vascular bed formed of many clusters of dilated capillaries, resposible for the marked early opacification, in combined with islets of tumor which confer the typical appearance of a cohesive, well-defined, expanding lesion. All 13 cases except one underwent excision. 7 cases are performed with embolization treatment which greatly slow down the blood flow and reduce the tumor tesion during operation. thus clear separation along the tumor border can be achieved. Results: of these 12 operative cases, 10 cases the tumors were removed totally and 2 subtotally. In the former group. 7 patients have recovered abolity to work and 3 remain in the preoperative status. The author discusses in detail the blood supply characteristics of the hemangioblastoma, embolization specifics and main notes on microsurgery.
出处
《中华神经外科杂志》
CSCD
北大核心
1994年第3期130-131,T007,共3页
Chinese Journal of Neurosurgery
