摘要
目的探讨后颅窝实质性血管母细胞瘤（ＰＦＳＨｓ）的诊断和治疗。方法回顾性分析经外科手术和病理证实的２２例资料。结果仅１３／２２获术前确诊。肿瘤全切２０例，手术死亡２例。２０例随访２个月至８年（平均２年），Ｋａｎｏｆｓｋｙ评分：８０分１５例，６０～７０分１例，死亡４例。结论ＭＲＩ和ＤＳＡ是术前诊断ＰＦＳＨｓ的主要方法，ＰＦＳＨｓ仍是神经外科较难处理的肿瘤，术中应用特殊的显微外科技术和提高操作技巧可提高手术疗效。
Objective
To investigate the diagnosis and tretment of the posterior fossa solid hemngioblastoma
(PFSHs).Methods The data of 22 patients with PFSHs verified by surgery and pathology were
analysized retrospectively.Results Preoperative definitive diagnosis rate was 13/22. Total
tumor removal was achived in 20 cases. Two cases died of operation. A follow up study from 2
months to 8 years (average 2 years)was performed in 20 patients. Kanofsky scale was equal to
or more than 80 in 15 cases, 60 70 in 1 case and 4 patients died.Conclusions MRI and DSA
are major preoperatively diagnositic modalities for PFSHs. PFSHs are still challenging
neoplasms.The application of special microsurgical technique and improvement of operative
manipulation can improve the surgical efficacy.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
1999年第1期25-26,共2页
Chinese Journal of Nervous and Mental Diseases
关键词
血管母细胞瘤
后颅窝
脑肿瘤
诊断
治疗
Hemangioblastoma Solid brain
tumor Posterior fossa Microsurgery
