摘要
目的探讨椎管内海绵状血管瘤的临床特点与手术技巧以指导临床应用。方法回顾性分析2000年1月至2008年6月椎管内海绵状血管瘤44例病例资料，均行后正中入路肿瘤切除术，对手术时机及手术前后的临床表现进行总结分析。结果44例肿瘤均行手术切除，并经病理证实为海绵状血管瘤，术后患者神经功能得到明显改善者33例。结论对于有明确神经系统症状的椎管内海绵状血管瘤患者，应积极、早期行肿瘤切除术，可获得良好的手术效果。术中注意微创操作，并充分利用B超和电生理监测等手段，可以很好地保护脊髓。
Objective The clinical diagnosis and surgical management of intramedullary spinal cord cavernous hemangioma were discussed. Methods Forty -four patients with pathologically confirmed intraspinal cavernous hemangiomas who were underwent operation at Beijing Tiantan hospital from January of 2000 to June of 2008 were reviewed retrospectively. All the patients underwent preoperative magnetic resonance （MR） imaging and were treated with laminectomy and microsurgical resection of the malformation. Results Thepostoperative neurological status was improved in 33 patients, remained unchanged in 8, and aggravated in 3. There was no surgery - related death. Conclusions Operation is the first choice for the treatment of intramedullary cavernous hemangiomas. Dissection should be performed between tumor and gliosis during surgical procedure. The intraoperative ultrasound examination and eleetrophysiological monitoring techniques are helpful to protect spinal cord function.
出处
《中华神经外科杂志》
CSCD
北大核心
2009年第8期675-677,共3页
Chinese Journal of Neurosurgery
