脊椎骨血管瘤的诊断和治疗（附8例报告）  

The Diagnosis and Treatme nt of Verte bralOsteoangioma:A Report of 8 Cases

作　　者：许立[1] 唐于驷 朱国良[1] 陈荣发[1] 洪天禄[1] 董天华[1] 

机构地区：[1]苏州医学院附属第一医院骨科

出　　处：《中华骨科杂志》1994年第11期660-662,共3页Chinese Journal of Orthopaedics

摘　　要：报道脊椎骨血管瘤８例，男３例、女５例，平均年龄２９岁，病期１．６年。病变共累及颈、胸、腰椎１３个椎体。单发者５例，多发者３例，一般；临床上无症状，常在Ｘ线检查时无意中发现。本组病例均因局部疼痛两下肢乏力而就诊。Ｘ线片可见椎体呈典型的栅栏样改变，ＣＴ可见网眼状改变。病理上可分海绵型和毛细血管型。６例采用椎板切除减压术后放疗，其中２例于术后５年及１５年复发，经再次手术而愈，２例仅作放疗。平均随访１０．５年疗效尚满意。AbstractEight patients with vertebral osteoangioma isreported.Three were males,amd 5 females,withthe age averaging 29 years。The course of the dis-ease was 1.6 vears。The lesions involved 13 verte-brae in the neck,chest and lumbar,respectively;Five had a solitary lesion,and three multiple le-sions,Usually, no clinical symptoms could beseen。The lesion is often discovered accidentlyduriiig radiography. The patients in this studycame to seek medical aid beacuse of regional painand weakness in the both lower extremities。X-rayexaminations demonstrated that the vertebrae pre-sented with typical railing-like changes。CT scan-ning showed meshlike changes. Pathologically,the lesion can be divided into cavernosum andtelangion fOrms.Six patients enwent vertebrallarninectomy for decompression,After operationthey were given radiotherapy。 Of these patients,twohdrecurrence at 5 and 15 vears after thesurgery.They got well after the vevision proce-dures.Two patients were treated only with radio-therapy, They were all fol lowed up for a mean of10。5 years.The results of treatment Were satis-factory.

关 键 词：脊椎骨 血管瘤 椎板切除减压 骨肿瘤 

分 类 号：R738.1[医药卫生—肿瘤]