后颅窝实质性血管网状细胞瘤的诊断和治疗  

Diagnosis and treatment of posterior fossa solid hemangioblastomas

作　　者：涂明[1] 郑伟明[1] 苏志鹏[1] 叶盛[1] 

机构地区：[1]温州医学院附属第一医院神经外科,325000

出　　处：《中国医师进修杂志》2012年第23期21-23,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨后颅窝实质性血管网状细胞瘤（PFSHs）的诊断和治疗。方法回顾性分析经外科手术和病理证实的23例PFSHs患者的临床资料。结果19例术前确诊为PFSHs。肿瘤全切除22例，开颅后肿瘤未全切除1例。23例患者术后随访0．33～9．00（2．96±2．73）年，其中20例恢复正常工作，1例能生活自理，死亡2例。结论MRI和数字减影血管造影是术前诊断PFSHs的主要方法。PFSHs仍是神经外科较难处理的肿瘤，术中应用特殊的显微外科技术，并提高手术操作技巧可提高手术疗效。Objective To investigate the diagnosis and treatment of the posterior fossa solid hemangioblastomas （PFSHs）. Methods The data of 23 patients with PFSHs verified by surgery and pathology were analyzed retrospectively. Results Nineteen cases were diagnosed with PFSHs before surgery. Total tumor removal was achieved in 22 patients. No case died of operation. A follow-up time was 0.33 -9.00 （2.96± 2.73） years, 20 patients returned to work, 1 patient had self-handling living, and 2 patients died. Conclusions MRI and digital subtraction angiography are major preoperatively diagnostic modalities for PFSHs. PFSHs is still a kind of challenging neoplasms. Applicating special microsurgical technique and improving the operative manipulation can improve the surgical efficacy.

关 键 词：显微外科手术 血管网状细胞瘤 脑肿瘤 颅窝 后 

分 类 号：R739.4[医药卫生—肿瘤]