应用显微手术与栓塞联合治疗脊髓血管母细胞瘤

目的 探讨脊髓血管母细胞瘤的优选治疗方法.方法 分析36例脊髓血管母细胞瘤的MRI、数字减影血管造影(DSA)的影像学特点,总结栓塞、手术治疗脊髓血管母细胞瘤的操作技巧和治疗结果.36例脊髓血管母细胞瘤患者中,单纯手术12例;手术+栓塞24例.结果 脊髓血管母细胞瘤MRI表现为边界清楚的实行占位、增强后明显均匀强化.DSA 表现为边界清楚、圆形、椭圆形高密度影,有明确供血动脉.36例患者中术后功能恢复正常27例;生活自理4例;需他人照顾5例.全切除30例,次全切除6例.结论 栓塞可以降低血管母细胞瘤的血液供应;提高治愈率、降低手术危险性、扩大手术适应证.

Treatment of spinal cord hemangioblastoma by microoperation combined with embolization

Objective To investigate the effects of microoperation combined with embolization in treatment of spinal cord hemangioblastoma. Methods Thirty-six patients with spinal cord hemangioblastoma,21 males and 15 females, aged 24. 2 ( 12 -48), underwent MRI and digital abstraction angiography. Twelve of them underwent pure microsurgical treatment and 24 of them underwent operation combined with remobilization. Results MRI showed clear boundary mass, and DSA showed round or oval high density images with clear boundary and definite supplying artery. 30 cases had their tumors totally removed; and 6 cases had their tumors subtotaUy removed.Complete functional recovery was seen in 27 of the 36 patients (67%).Four patients resumed their self-care ability,and 4 still needed someone's help. Conclusion Embolization lowers the blood supply of the spinal cord hemangioblastoma, elevates the cure rate, and enlarges the indication of spinal cord hemangioblastoma operation.