摘要
目的探讨后颅窝血管网织细胞瘤的诊断及显微手术的处理要点。方法回顾性分析我院2000～2004年间经手术和病理证实的24例后颅窝血管网织细胞瘤。结果该病好发年龄在20～50岁,共20例(占83.3%),男女比例为1∶1.2。临床表现以头痛和共济失调为主,CT和MRI是主要的诊断方法。肿瘤位于小脑半球21(87.5%)例,小脑蚓部2(8.3%)例,延髓1例(4.2%),囊性20例(83.3%),实质性4例(16.7%)。肿瘤均获得全切除。手术死亡1例(4.2%)。结论CT和MRI可以对后颅窝血管网织细胞瘤作出定性、定位诊断,并可将其分型以利于选择不同的手术方法。该肿瘤为良性肿瘤,显微手术可以全切除病变而达到治愈。
Aim To study the diagnosis and microsurgical warning events of posterior fossa hemangioreticuloma. Methods Twenty four patients with posterior fossa hemangioreticuloma who were proven by operation and pathology from 2000 to 2004 were analyzed retrospectively.Results Posterior fossa hemangioreticuloma tends to occur in the age ranged from 20 to 50 years (20 cases, 83.3%). Female to male ratio was 1.2. The most common presenting symptom were headache and ataxia. CT and MRI were major diagnostic modalities. Tumors located on cerebellar hemisphere (21 cases, 87.5%), cerebellar vermis (2 cases, 8.3%), oblongata (1 case, 4.2%). Tumors were cyst in 20 cases (83.3%) and solid in 4 cases(16.7%). Total tumor removal was achieved in all cases. One patient died after operation (4.2%). Conclusions CT and MRI can make out the diagnosis of localization and the nature and classification. The classification is conductive to selecting appropriate operative method. Posterior fossa hemangioreticuloma is benign tumor which can be cured by total microsurgical resection.
出处
《安徽医药》
CAS
2005年第7期523-524,共2页
Anhui Medical and Pharmaceutical Journal
