海绵窦海绵状血管瘤的诊断及治疗  

Diagnosis and therapy of intracavernosal cavernous hemangioma

作　　者：于兰冰[1] 赵继宗[1] 贾文清[1] 

机构地区：[1]首都医科大学附属北京天坛医院神经外科,100050

出　　处：《中华医学杂志》2004年第24期2086-2088,共3页National Medical Journal of China

摘　　要：目的总结海绵窦海绵状血管瘤的临床特点及其治疗方法。方法分析43例海绵窦海绵状血管瘤患者的病理学流行病学影像学特点,手术及术后并发症,并对43例患者进行以额颞入路,单纯额部入路及额颞联合耳前颞下入路的手术治疗。结果手术全切除22例,近全切除11例,部分切除10例。术后主要并发症为动眼神经麻痹16例,外展神经麻痹10例,面神经麻痹3例。无手术后死亡病例。结论目前,手术仍是海绵窦海绵状血管瘤比较有效的治疗方法。Objective To study the diagnosis and therapy of intracavernosal cavernous hemangioma Methods The clinical data, including pathology, epidemiology, medical imaging, operation procedure, and post operational complication, of 43 intracavernosal cavernous hemangioma patients undergoing operations in Tiantan Hospital 1996 to 2003 were analyzed Frontotemporal craniotomy, frontal craniotomy, and combined fronto temporal preauricular subtemporal approach were used for the 43 patients Results The male/female ratio of these cases was 1: 2 58 The average age of onset was 44 28 (11～67). The initial symptoms included headache, diminution of vision, paralysis of occulomotor nerve, ambiopia, facial pain or numbness epilepsy, etc Although showing no specific typical feature, MRI still helped in diagnosis The tumor was totally removed in 22 cases, subtotally removed in 11 cases, and partially removed in 10 cases The main post operational complications included oculomotor nerve paralysis (16 cases), abducent nerve paralysis (10 cases), and facial nerve paralysis (3 cases) No postoperative death occurred Conclusion Operation is still the best choice for intracavernosal cavernous hemangioma patients

关 键 词：海绵窦 海绵状血管瘤 诊断 治疗方法 患者 并发症 手术 流行病学 切除 病理学 

分 类 号：R739.4[医药卫生—肿瘤]