颅内海绵状血管瘤的显微外科治疗

目的探讨颅内海绵状血管瘤（CA）的临床特征和治疗策略。方法回顾性分析30例颅内CA的临床资料,其中脑内型29例,脑外型1例。采取临床观察4例,显微手术治疗26例。结果 4例临床观察病人,随访无特殊不适。26例显微手术治疗,均镜下全切病变,效果满意,无死亡病例。术后随访3个月～3年,病人均恢复良好。结论对有症状的CA积极行显微手术治疗可获得良好效果,无症状的CA可临床观察。脑内型CA行伽玛刀治疗需要慎重。

Microsurgical treatment of intracranial cavernous angiomas

Objective To explore the clinical features and treatment strategies of intracranial cavernous angiomas（CA）.Methods The clinical data of 30 patients with intracranial CA were analyzed retrospectively.There were 29 patients with intracerebral CA,and 1 patient with extracerebral CA.Four patients received clinical observation,and 26 underwent microsurgery.Results There was no specific discomfort in the 4 patients receiving clinical observation during follow-up.The lesions were totally removed in 26 patients by microsurgery.No patient died.The surgical results were satisfactory.The time of follow-up was 3 months to 3 years,all patients recovered well.Conclusions For the patient of intracranial CA who has obvious clinical symptoms,the microsurgery removing the focus can provide a satisfactory outcome.Patients with intracranial CA may be clinically observed if they have no symptom.The benefits and risks should be carefully balanced before the use of stereotactic radiosurgery for the patients with intracerebral CA.