[1]熊方令,刘保华,高明明,等.颅骨海绵状血管瘤手术治疗临床分析[J].临床神经外科杂志,2019,16(1):77-79.[doi:10.3969/j.issn.1672-7770.2019.01.018]
 XIONG Fang-ling,LIU Bao-hua,GAO Ming-ming,et al.Clinical analysis on treatment of cranial bone cavernous hemangioma[J].Journal of Clinical Neurosurgery,2019,16(1):77-79.[doi:10.3969/j.issn.1672-7770.2019.01.018]
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颅骨海绵状血管瘤手术治疗临床分析()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
16
期数:
2019年第1期
页码:
77-79
栏目:
临床研究
出版日期:
2019-02-18

文章信息/Info

Title:
Clinical analysis on treatment of cranial bone cavernous hemangioma
作者:
熊方令刘保华高明明袁璞张怀兵高宜录
223800 宿迁,南京鼓楼医院集团宿迁市人民医院神经外科(熊方令,刘保华,高明明,袁璞,张怀兵);南通大学附属医院神经外科(高宜录)
Author(s):
XIONG Fang-ling LIU Bao-hua GAO Ming-ming et al.
Department of Neurosurgery, Suqian People’s Hospital of Nanjing Drum Tower Hospital Group,Suqian 223800, China
关键词:
海绵状血管瘤颅骨治疗
Keywords:
cavernous hemangiomas skull treatment
分类号:
R628
DOI:
10.3969/j.issn.1672-7770.2019.01.018
文献标志码:
D
摘要:
目的探讨原发性颅骨海绵状血管瘤的临床表现、影像学特征、病理学特点及治疗措施。方法回顾分析6例原发性颅骨海绵状血管瘤患者的临床资料;并结合文献对其临床表现、影像学特点、治疗方法进行分析。结果本组患者的原发性颅骨海绵状血管瘤为单发,临床症状各异。头颅CT表现为肿瘤呈“日光放射征”改变,周边骨质硬化。头颅MRI示,肿瘤呈T1WI不均匀中高信号,T2WI不均匀高信号,增强扫描不均匀强化。手术切除包括肿瘤在内的颅骨及周边硬化颅骨后,患者的临床症状均消失,预后良好。术后病理检查示,病变表现为蜂窝状肿块,由充填有多量血细胞的囊状血管组成。结论原发性颅骨海绵状血管瘤较为罕见,手术治疗效果确实可靠;术后病理检查为其最终确诊的有效手段。
Abstract:
Abstract: ObjectiveTo explore the clinical manifestation, imaging characteristic, pathological feature and treatment of primary cavernous hemangiomas of the skull. MethodThe clinical data of 6 patients with the primary cavernous hemangioma was analyzed retrospectively. Combined with the relevant literatures,the clinical manifestation, imaging characteristic and therapeutic method were also anzlyzed. ResultsPrimary cranial cavernous hemangiomas were rare and tend to be solitary lesions.The clinical findings were variable. CT image showed a sunburst sign in the center and reactive sclerosis at the margins. MRI demonstrated a inhomogeneous enhancement mass. T1-weighted sequences gave heterogeneous medium to high intensity signals, and T2-weighted image showed heterogeneous high signals. After craniectomy with total resection, the clinical presentations were disappeared and got good prognosis. On histopathology, they were alveolate masses and composed of sinusoidal blood vessels. Conclusions Primary cavernous hemangiomas of the skull are rare, and the effect of surgical procedures are reliable, which can provide the final diagnosis by the pathological features of surgical specimens.

相似文献/References:

[1]阮立新,万曙,李先锋.颅骨寒性脓疡1例及文献复习[J].临床神经外科杂志,2016,(01):79.
[2]惠卫宁.鞍区海绵状血管瘤误诊为侵袭性垂体瘤一例并文献复习[J].临床神经外科杂志,2014,(02):116.

更新日期/Last Update: 2019-02-18