摘要
目的提高脊髓海绵状血管瘤（CA）的诊断水平与显微外科治疗效果。方法回顾性分析11例资料完整的脊髓CA病例，所有患者均经MRI确诊并行显微外科手术治疗。结果病灶全切10例，次全切1例。术后脊髓功能改善9例，无变化1例，加重1例，无手术死亡。结论MRI是脊髓海绵状血管瘤术前最可靠的诊断方法。全脊髓血管造影可以排除其他脊髓血管畸形。显微手术切除是脊髓海绵状血管瘤的首选治疗方法，术前脊髓功能受损程度是影响预后的主要因素。
Objective To raise the diagnostic level of spinal intramedullary cavernous hemangiomas （CA） and the curative effect of the microsurgery on them. Method The clinical and imaging data of 11 patients with spinal intramedullary cavernous hemangiomas underwent microsurgery in our department from 2003 to 2008 were analyzed retrospectively. The definite diagnosis was made by MRI examination in all patients. Results Ten patients received total resection and 1 subtotal in the 11 patients with spinal intramedullary cavernous hemangiomas. The pest - operative neurological function of the spinal cord was improved in 9 patients, unchanged in 1 ,and deteriorated in 1. No patients died from the operation. Conclusions MRI is a reliable method in the diagnosis of spinal intramedually cavernous hemangiomas. DSA can diferentiate other spinal AVM. Microsurgery is the best method in the treatment of spinal cavernous hemangiomas. The outcome depends on the severity of preoperative neurological dysfunction. Precise diagnosis of the CA and timely treatment are mandatory. Meticulous nonbleeding surgery and experience are the keys to success.
出处
《中华神经外科杂志》
CSCD
北大核心
2010年第6期531-533,共3页
Chinese Journal of Neurosurgery
