闩部周围区域海绵状血管瘤的手术治疗

目的 分析和评价闩部周围区域海绵状血管瘤手术治疗的有效性和预后.方法 回顾性分析5例位于闩部周围区域的海绵状血管瘤的临床表现,MRI资料和手术治疗.病灶位于延髓3例,第1颈髓2例.结果 病灶均全切除,术后无死亡,4例神经功能改善,1例加重者在术后2个月完全恢复正常.平均随访12个月,病变无复发.结论 在准判读MRI所显示病变的前提下,采用显微手术切除闩部周围高危区域海绵状血管瘤是安全和有效的.

Surgery for cavernous hemangioma in the peripheral zone of the obex

Objective To evahlate the result or the operative treatment of cavernous hemangioma in the peripheral zone of the obex. Methods Five cases of cavernous hemangioma in the peripheral zone of the obex, 3 in medulla oblongata and 2 in the first cervical cord. were analyzed retrospectively. Results Total removal of the lesion was achieved in all the patients without death. Neural system function was improved in 4 cases and temporarily aggravated in 1 with recovery at 2 months. There was no recurrence for follow-up of average 12 months. Conclusion Based on the precise analysis of the lesion showing on the MRI, the microsurgical removal of cavernous hemangioma in the peripheral zone of the obex is safe and effective.