摘要
分析中枢神经系统（ＣＮＳ）血管网织细胞瘤的临床特点。方法回顾性研究了我院１９８２～１９９５年收治的１７４例ＣＮＳ血管网织细胞瘤，所有病例均经病理证实。结果肿瘤发病年龄为２１岁～４０岁，男性多于女性，大部分发生于后颅窝。１１９例做ＣＴ检查，肿瘤为囊性者９５例；４７例做ＭＲＩ，肿瘤为囊性者３２例，血管造影或数字减影血管造影（ＤＳＡ）检查４９例。本组中瘤结节及实性肿瘤全切除１６４例，部分切除（加放射治疗）１３例。结论ＭＲＩ增强扫描可用于囊性血管网织细胞瘤的术前诊断；血管造影或ＤＳＡ主要用于较大的实质性血网的检查；
Objective To study the clinical features of hemangioblastomas of the central nervous system (CNS).Methods 174patients with hemangioblastomas of CNS were reviewed from 1982 to 1995.All patients were verified pathologically.Results The tumors occurred mainly in patients between 21 and 40 years of age,and more often in men than in women.Most tumors were in the posterior fossa.CT scan of 119 patients showed that 95 hemangioblastomas appeared as cysts.Magnetic resonance imaging (MRI)for 47 patients showed that 32 had cysts.49 patients were examined with angiography or DSA .164 tumor mural nodules and solid masses were completely resected.The subtotal removal of others was performed.These patients received radiotherapy.Conclusion Enhanced MRI is the examination of choice for preoperative evaluation of cystic hemangioblastomas.Angiography or DSA is necessary in the diagnosis of bigger solid masses.The findings suggest that patient′sage and degrees of section could affect the recurrence of hemangioblastoma.
出处
《中华医学杂志》
CAS
CSCD
北大核心
1997年第3期191-193,共3页
National Medical Journal of China
