摘要
【目的】提高后颅窝血管网织细胞瘤的诊断及治疗水平,降低术后并发症和致残率及死亡率。 【方法】回顾性分析了本院1997年5月至2003年11月收治的23例后颅窝血管网织细胞瘤的诊断及治疗效 果,其中囊性19例,实质性4例,所有病例均经手术及病理学检查证实。【结果】本病好发于小脑半球,多表现 为颅高压及共济失调。MRI有助于术前正确诊断。19例肿瘤全切除,4例次全切除。术后神经功能改善21 例,加重2例,无死亡病例。【结论】后颅窝血管网织细胞瘤预后良好,治疗首选显微神经外科手术。
ObjectiveTo improve the diagnosis and treatment of hemangioblastomas of the posterior cranial fossa,reduce the postoperative complications and mortality.A retrospective review of 23 cases with hemangioblastomas of the posterior cranial fossa was conducted, including the date of clinical manifestations, diagnosis and microsurgical outcomes.Most of the posterior cranial fossa hemangioblastomas happened in cerebellum with the clinical manifestations of intracranial hypertension and ataxia. The hemangioblastomas could be correctly diagnosed before operation because of their characteristics of MRI. The total tumor removal was accomplished in 19 cases, subtotal in 4 cases. Neurological function improved in 22 cases postoperatively, deteriorated in 2 cases.[Conclusion]Microsurgical technique to remove hemangioblastomas of the posterior cranial fossa is the treatment of first choice with excellent effect. Surgical operation should be recommended and good prognosis can be achieved.
出处
《医学临床研究》
CAS
2005年第2期180-182,共3页
Journal of Clinical Research
关键词
颅窝
后
血管瘤
网状细胞
脑肿瘤
cranial fossa,posterior
hemangioma
reticulocytes
brain neoplasms
