摘要
目的 分析血管母细胞瘤的临床和病理学特点 ,提高手术疗效。 方法 回顾性分析我院 1970～ 1998年间手术和病理证实的 72例血管母细胞瘤 (共 95个肿瘤 )患者的临床资料。结果 本病的好发年龄在 2 0～ 4 0岁 ,共 4 7例 (占 5 8 3% ) ;男性 (46例 )约为女性 (2 6例 )的 2倍 ;好发于小脑半球 (83个占 87 4 % )有遗传倾向 ,少数有典型家族史。本组囊壁结节型 6 1个 (6 7 4 % )、实质型 31个、囊旁结节型 3个 ;目前诊断主要依靠CT和MR ,实质性者借助于椎动脉造影鉴别。手术治疗是有效而可靠的方法。 结论 血管母细胞瘤是良性肿瘤 ,手术切除是最好的治疗方法 ,彻底切除可治愈。放射治疗、化疗基本无效。初发年龄轻、有遗传倾向。
Objective To analyze and summarize the clinical and pathological characteristics of intracranial haemangioblastoma and to improve surgery effect. Method Seventy two patients with intracranial haemangioblastoma who were proven by operation and pathology from 1970 to 1988 were analyzed retrospectively. Results Intracranial haemangioblastoma tends to occur in the hemisphere of cerebellum (83 tumours,87%) anel the age of them ranged from 20 to 40 years(47 cases,58.3%) mostly.The ratio of men(46 cases) was higher than women (26 cases).The diagnosis of the disease depends on CT and MR substantive haemangioblastoma.The most effective and reliable treatment of intracranial haemangioblastoma is surgical resection. Conclusion Intracranial haemangioblastoma is benign tumour which canbe, cured by total surgical resection.The key recurrence factors include the young age of initial onset,mistaken exploration and incomplete extirpation of tumour.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2003年第8期614-616,共3页
Chinese Journal of Surgery
关键词
血管母细胞瘤
病理学特点
手术治疗
切除术
复发
Hemangioma
Stem cells
Posterior fossa
Hemisphere of cerebellum
Central nervous system
Brain tumor
