| 脊髓血管母细胞瘤的诊断和治疗 |
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| 引用本文： | Cui DM,Che XM,Xu QW,Gu SX,Shi W,Yang F. 脊髓血管母细胞瘤的诊断和治疗[J]. 中华医学杂志, 2007, 87(5): 308-310 |
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| 作者姓名： | Cui DM Che XM Xu QW Gu SX Shi W Yang F |
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| 作者单位： | 200040,上海,复旦大学附属华山医院神经外科 |
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| 摘 要： | 目的探讨脊髓血管母细胞瘤的诊断和治疗方法。方法对42例脊髓血管母细胞瘤患者的影像学特点和手术方法进行总结,并对38例患者进行了平均4．2年的随访。结果脊髓血管母细胞瘤大多数表现为边界清晰的实质性占位,增强后明显均匀的强化。对于鉴别困难的病例进行脊髓血管造影可以明确诊断。本组42例均获得全切,术后症状改善者27例,6例无明显变化,5例加重。结论脊髓MRI及血管造影可以对脊髓血管母细胞瘤作出定位和定性诊断,手术疗效可靠,全切肿瘤可治愈本病,同时早期诊断和早期治疗能最大限度的保护脊髓功能。
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| 关 键 词： | 脊髓 血管母细胞瘤 手术 |
| 修稿时间： | 2006-05-27 |
Diagnosis and treatment of spinal cord hemangioblastoma |
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| Cui Da-ming,Che Xiao-ming,Xu Qi-wu,Gu Shi-xin,Shi Wei,Yang Fei. Diagnosis and treatment of spinal cord hemangioblastoma[J]. Zhonghua yi xue za zhi, 2007, 87(5): 308-310 |
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| Authors: | Cui Da-ming Che Xiao-ming Xu Qi-wu Gu Shi-xin Shi Wei Yang Fei |
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| Affiliation: | Department of Neurosurgery, Huashan Hospital, Shanghai Medical University, Shanghai 200040, China |
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| Abstract: | Objective To study the diagnosis and treatment of spinal cord hemangiohlastoma. Method The clinical data of 42 patients with spinal cord hemangioblastoma who were operated on between 1997 and 2005 were analyzed. Result Spinal cord hemangioblastoma mostly showed space occupying lesions with clear boundary and Dd-DTPA homogenous enhancement by MRI. All the 42 patients underwnt complete excision. 27 patients showed improvement of their symptoms, the 6 patients failed to show any change, and neurological deficits were aggravated in the 5 patients. Condusion MRI and DSA are helpful in qualitative and localized diagnoses of the spinal cord hemangioblastoma. Surgical outcomes are favorable. |
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| Keywords: | Spinal cord Hcmangiohlastoma Operation |
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