| 脊髓海绵状血管瘤的诊断与显微外科治疗 |
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| 引用本文： | 付洛安,章翔,费舟,张剑宁,刘卫平,蒋晓帆,高大宽,曹卫东.脊髓海绵状血管瘤的诊断与显微外科治疗[J].解放军医学杂志,2003,28(12):1061-1062. |
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| 作者姓名： | 付洛安 章翔 费舟 张剑宁 刘卫平 蒋晓帆 高大宽 曹卫东 |
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| 作者单位： | 710032,西安,第四军医大学西京医院 |
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| 基金项目： | 高等学校骨干教师资助计划项目 |
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| 摘 要： | 目的 总结脊髓海绵状血管瘤显微外科治疗的经验。方法 对 1992年 3月～ 2 0 0 2年 12月收治的 17例脊髓海绵状血管瘤病例进行了回顾性分析。手术均采用后正中入路 ,显微直视下切除病变。结果 17例脊髓海绵状血管瘤病例中 ,全切 13例 ,部分切除4例。术后 11例脊髓功能改善 ,4例无变化 ,2例加重 ,无死亡。结论 脊髓MRI检查是确诊本病的惟一可靠手段 ,娴熟的显微神经外科技术可使该类手术治疗取得良好效果。
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| 关 键 词： | 血管瘤 海绵状 中枢神经系统 显微外科手术 磁共振成像 |
| 修稿时间： | 2003年6月5日 |
DIAGNOSIS AND MICROSURGERY OF SPINAL CORD CAVERNOUS HEMANGIOMAS |
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| FU Luo-an,ZHANG Xiang,FEI Zhou et al.DIAGNOSIS AND MICROSURGERY OF SPINAL CORD CAVERNOUS HEMANGIOMAS[J].Medical Journal of Chinese People's Liberation Army,2003,28(12):1061-1062. |
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| Authors: | FU Luo-an ZHANG Xiang FEI Zhou |
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| Institution: | FU Luo-an,ZHANG Xiang,FEI Zhou et al. Xijing Hospital,Fourth Military Medical University,Xi'an 710032,China |
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| Abstract: | Objective To sum up the experiences in microneurosurgical treatment of spinal cord cavernous hemangiomas (SCH). Methods A retrospective analysis was made of 17 cases of SCH admitted from March 1992 to December 2002. Operations were performed via a posterior midline approach under a microscope. Results Total SCH resection was done in 13 cases, and subtotal removal in 4. The postoperative neurological status was improved in 11 cases, unchanged in 4, and aggravated in 2. No postoperative death occurred. Conclusion Spinal MRI examination is a reliable diagnostic method of SCH. Skillful microneurosurgical technique can achieve a rather good result. |
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| Keywords: | hemangioma cavernous central nervous system microsurgery magnetic resonance imaging |
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