[1]左德献,李正阳,吾太华,等.颅内血管周细胞瘤的影像学特点及显微外科手术治疗[J].临床神经外科杂志,2020,17(01):56-65.[doi:DOI:10.3969/j.issn.1672-7770.2020.01.013]
 ZUO De-xian,LI Zheng-yang,WU Tai-hua,et al.Imaging features and microsurgery of intracranial hemangiopericytoma[J].Journal of Clinical Neurosurgery,2020,17(01):56-65.[doi:DOI:10.3969/j.issn.1672-7770.2020.01.013]
点击复制

颅内血管周细胞瘤的影像学特点及显微外科手术治疗()
分享到:

《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
17
期数:
2020年01期
页码:
56-65
栏目:
颅内肿瘤专题
出版日期:
2020-02-15

文章信息/Info

Title:
Imaging features and microsurgery of intracranial hemangiopericytoma
文章编号:
202001013
作者:
左德献李正阳吾太华罗似亮马赞邓少勇
510510 广州,暨南大学医学院附属脑科医院(广东三九脑科医院)神经外七科
Author(s):
ZUO De-xian LI Zheng-yang WU Tai-hua et al.
Department of Neurosurgery Ward 7, Affiliated to Brain Hospital of Medical College of Jinan University, Guangzhou 510510, China
关键词:
血管周细胞瘤脑膜瘤影像学特点显微外科手术
Keywords:
hemangiopericytoma meningioma imaging features microsuergery
分类号:
R739.41
DOI:
DOI:10.3969/j.issn.1672-7770.2020.01.013
文献标志码:
A
摘要:
目的探讨颅内血管周细胞瘤(HPC)的影像学特点及显微外科手术方法。方法回顾性分析显微外科手术治疗的26例颅内HPC患者的临床资料;包括影像学检查、手术方法及手术疗效。结果16例颅内HPC患者术前影像学诊断与术后病理诊断一致,6例患者术前被误诊为脑膜瘤,4例患者误诊为血管母细胞瘤。手术效果:肿瘤全切除者17例,次全切除5例,部分切除4例,无死亡患者。全部患者术后均行局部放疗。术后随访6~42个月,3例患者肿瘤复发。结论颅内HPC的影像学表现具有一定特点,仔细分析其影像学特点可提高术前诊断率。根据肿瘤的影像学表现制定手术方案,以及娴熟的显微外科技术,术中控制好出血,是提高颅内HPC全切除率和提高手术疗效的关键。
Abstract:
Objective To explore the imaging features and microsurgical techniques of intracranial hemangiopericytoma(HPC). MethodsThe clinical data of 26 patients with intracranial HPC, who underwent microsurgery, including imaging features, microsurgical techniques and curative effect were analyzed retrospectively. ResultsPreoperative imaging diagnosis of 16 patients with intractranial HPC were consistent with postoperative pathological diagnosis. 6 patients were misdiagnosed as meningioma, and were misdiagnosed as hemangioblastoma. Total resection of tumors were achieved in 17 cases, greatly partial in 5 and partial in 4. No patient died. All patients received local radiotherapy after operation. The patients were followed up for 6 to 42 months. HPC recurrence were found in 3 patients. ConclusionsThe imaging findings of intracranial HPC has certain features. Analysis of the imaging features can improve preoperative diagnostic rate of intracranial HPC. Making operation plan according to imaging manifestations of HPC, skillful microsurgical techniques and controlling the bleeding during the operation are keys to improve total resection rate of tumors and curative effect of microsuregery of intracranial HPC.

相似文献/References:

[1]陈立华.岩斜区脑膜瘤手术入路选择[J].临床神经外科杂志,2014,(01):1.
[2]马涛,秦华平,官卫.术前辅助栓塞联合手术治疗脑膜瘤的Meta分析[J].临床神经外科杂志,2014,(01):41.
[3]唐知己,杨瑞金,张珍华,等.皮质中央区脑膜瘤术后神经功能障碍的预防[J].临床神经外科杂志,2015,(02):129.
[4]殷尚炯,刘洪泉,王洪生.侵袭性脑膜瘤的诊断和治疗[J].临床神经外科杂志,2015,(04):287.
[5]苏卢海,张世渊,沈波,等.脑膜瘤3次术后并发腹腔间隔室综合征1例诊治临床分析并文献复习[J].临床神经外科杂志,2015,(06):479.
[6]李正阳,吾太华,郑传红,等.uPAR通过调节MMP2和MMP9对恶性脑膜瘤的侵袭有促进作用[J].临床神经外科杂志,2014,(05):335.
[7]蒋霖,高广忠.大型矢状窦旁脑膜瘤显微外科治疗[J].临床神经外科杂志,2014,(05):389.
[8]吴长山,范月超.小脑幕脑膜瘤的显微外科手术治疗[J].临床神经外科杂志,2016,(04):249.
 WU Chang-shan,FAN Yue-chao.Microsurgical treatment of tentorial meninsiomas[J].Journal of Clinical Neurosurgery,2016,(01):249.
[9]李国峰,侯文仲,曾敏敏,等.大脑镰及矢状窦旁脑膜瘤显微手术治疗的研究[J].临床神经外科杂志,2016,(04):252.
 LI Guo-feng,HOU Wen-zhong,ZENG Min-min,et al.Study of surgical treatment of the cerebral falx and parasagittal meningiomas[J].Journal of Clinical Neurosurgery,2016,(01):252.
[10]卢成寅,徐涛,王洪祥,等.幕上脑膜瘤手术并发症的相关因素[J].临床神经外科杂志,2017,14(03):202.
 LU Cheng-yin,XU Tao,WANG Hong-xiang,et al.Related factors of surgical complications in patients with supratentorial meningiomas[J].Journal of Clinical Neurosurgery,2017,14(01):202.

更新日期/Last Update: 2020-02-19