[1]王一芳,谭启富,王正伟,等.颈髓髓内血管母细胞瘤的显微外科治疗[J].临床神经外科杂志,2015,(02):123-125.
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颈髓髓内血管母细胞瘤的显微外科治疗()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2015年02期
页码:
123-125
栏目:
论著
出版日期:
2015-04-15

文章信息/Info

Title:
Microsurgical treatment of the intrameduallary hemangioblastoma of cervical spinal cord
作者:
王一芳 谭启富 王正伟 许爱刚 吴章泽
解放军第454医院
关键词:
颈髓血管母细胞瘤显微手术
Keywords:
Cervical spinal cord Hemangioblastoma Microsurgery
分类号:
R651.1
文献标志码:
A
摘要:
目的 探讨颈髓髓内血管母细胞瘤的手术治疗。方法 回顾性分析5例颈髓髓内血管母细胞瘤的临床特征、影像学表现、肿瘤切除情况以及手术前后神经功能改变。结果 临床表现为感觉和运动障碍。MRI表现为边界清楚、显著强化、富含血管。4例肿瘤全切除,1例次全切除。次全切除患者术后辅以直线加速器放射治疗。术后神经功能改善4例、无改善0例、加重1例。行放射治疗的患者复查未见肿瘤增大。结论 颈髓髓内血管母细胞瘤的诊断主要依靠MRI,正确的手术策略与熟练的显微手术技巧至关重要。对于残留肿物可行直线加速器放射治疗。
Abstract:
Objective To study the microsurgical treatment of the intrameduallary hemangioblastoma of cervical spinal cord. Methods Clinical manifestation, imaging features and managements of 5 cases with the intrameduallary hemangioblastoma of cervical spinal cord were retrospectively analysed. The preoprative and postoprative nervous function were evaluated. Results The most common presenting symptoms on admission were motor weakness and pain or paresthesia of the limbs. The hemangioblastomas showed a strong homogeneous enhancement on MRI images and displayed abundant vascularity. Gross total resection was achieved in 4 cases and subtotal resection in 1 case. The patient was performed linear accelerator-based radiosurgery following the subtotal resection. Postoperative clinical symptoms were improved in 4 cases, unchanged in 0 case and aggravted in 1 case. The residual tumor did not enlargement after irradiation. Conclusion MRI is recommended as the principal diagnostic method for the intrameduallary hemangioblastoma of cervical spinal cord. Approprite operative strategies and skillful microsurgical rechniques are the base of the successful operation. Linear accelerator-based irradiation is suggested for the residual tumor.

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备注/Memo

备注/Memo:
[收稿日期] 2014-10-09 [基金项目]南京军区医学科学“十二五”科研项目
更新日期/Last Update: 2015-04-15