椎管内硬膜外非浸润型血管脂肪瘤的临床特点与手术体会  

Clinical characteristics and operative experience in intravertebral epidural non-infiltrative angiolipoma

作　　者：刘宗霖[1] 张志强[1] 程新富[1] 

机构地区：[1]解放军第161医院神经外科,湖北武汉430010

出　　处：《临床军医杂志》2014年第1期26-27,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨椎管内血管脂肪瘤的临床特点及手术治疗方法。方法回顾性分析6例椎管内硬膜外非浸润型血管脂肪瘤患者的临床表现、磁共振(MRI)特点和手术结果。结果 6例患者均有不同程度的神经根痛,MRI可清晰显示肿瘤及其周围结构。肿瘤均位于胸段椎管内硬膜外,表现为短或等T1、短T2信号,增强后呈明显强化。所有病例全切后症状缓解,随访6个月无复发。结论椎管内硬膜外非浸润型血管脂肪瘤是少见的疾患,多发生于脊髓后方,常能全切,预后良好。Objective To explore the clinical characteristics and operative experience in intravertehral epidural non-infiltrative an- giolipoma. Methods The clinical mauifestation, MRI characteristics arad surgical outcomes of six cases of intravcrtebral epidural non-infiltrative angiolipomas were retrospectively analyzed. Results Radicular pain appeared in all the cases. MRI clearly （lemon- strated the exact extension of tire tumors and the surrounding structures. These tumors were all thoracic epidural non-infiltrative an- giolipomas anti showed as short or equal T1 and short T2 homogeneous signals with significant enhancement on MRI. Their symptoms improved steadily after complete resection and there were no recurrence within six months＇ follow-up. Conclusion lntravertebral epidural non-iufihrative angiolipma, which occurs posterior to the cord, is rare. Total resection with subsequent recovery is usually possihle.

关 键 词：血管脂肪瘤 椎管内 手术 

分 类 号：R738.6[医药卫生—肿瘤]