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椎管内海绵状血管瘤手术治疗及其疗效分析
引用本文:徐荣,徐启武,车晓明,潘力,钟平,丁兴华. 椎管内海绵状血管瘤手术治疗及其疗效分析[J]. 中国微侵袭神经外科杂志, 2003, 8(2): 65-66
作者姓名:徐荣  徐启武  车晓明  潘力  钟平  丁兴华
作者单位:上海复旦大学医学院附属华山医院神经外科,上海,200040
摘    要:
目的 探讨椎管内海绵状血管瘤(CA)的诊断、鉴别诊断、手术治疗及其疗效。方法 回顾性分析本院1993-2001年收治的18例椎管内CA,其中硬脊膜外7例,髓内11例。结果 均行手术治疗,17例行镜下或肉眼全切除术,1例行次全切除。术后随访6-96个月,17例术后神经功能障碍明显改善,其中12例恢复正常工作和学习。5例生活能自理;1例术后神经功能障碍无明显改善,生活需他人照顾。结论 椎管内海绵状血管瘤应早期诊断,早期治疗,应尽可能行肿瘤全切除术,以减少复发。

关 键 词:椎管内海绵状血管瘤 CT MRI DSA
文章编号:1009-122X(2003)02-0065-02
修稿时间:2002-10-10

Surgical treatment and effect of spinal cavernous angioma
XU Rong,XU Qiwu,CHE Xiaoming,et al. Surgical treatment and effect of spinal cavernous angioma[J]. Chinese Journal of Minimally Invasive Neurosurgery, 2003, 8(2): 65-66
Authors:XU Rong  XU Qiwu  CHE Xiaoming  et al
Affiliation:XU Rong,XU Qiwu,CHE Xiaoming,et alDepartment of Neurosurgery,Shanghai Huashan Hospital,Medical College of Fudan Unieversity,Shanghai 200040,China
Abstract:
Objective To study the diagonosis, surgical treatment and effect of spinal cavernous angioma (CA). Methods Eighteen patients of spinal CA from 1993 to 2001 were retrospectively analyzed. Seven patients were extradural CA, eleven patients were intramedullary CA.Results All patients except one of this group were totally operated. Sympotoms of seventeen patients were obviously improved after operation, one patient was not obviously changed. Conclusion Spinal CA should be diagnosed and operated as early as possible. The tumor should be totally excised as possible.
Keywords:cavernous angioma  CT  MRI  DSA  
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