颅内血管网状细胞瘤46例的诊断和治疗  

INTRACRANIAL HEMANGIOBLASTOMAS

作　　者：薛洪利[1] 赵崇智[1] 王翚[1] 孔令权[1] 

机构地区：[1]沈阳军区总医院神经外科

出　　处：《解放军医学杂志》1989年第6期406-409,共4页Medical Journal of Chinese People's Liberation Army

摘　　要：本文报告了1980年9月～1987年12月经手术病理证实的颅内血管网状细胞瘤46例,其中幕下肿瘤42例(91.3％),幕上3例(6.5％),松果体区1例(2.2％)。CT扫描分为:Ⅰ型(囊型)4例(8.7％),Ⅱ型(囊腔结节型)19例(41.3％),Ⅲ型(实体型)20例(43.5％),Ⅳ型(瘤内囊型)3例(6.5％)。4例实体肿瘤行脑血管造影,表现为多血性肿瘤血管团,无颅外供血。23例Ⅰ、Ⅱ型患者均行瘤结节切除,23例Ⅲ、Ⅳ型患者有17例全切,2例大部切除,4例活检。术后死亡6例(13.0％)。作者还对本病的诊断和治疗进行了讨论。46 cases of intracranial hemangioblastoma.confirmed by operation and pathology,are reported.25 patients were male and 21 were female.The tumors were located in posterior fossa in 42 cases.(91.3%),and in supratentorial region in 4 cases,including 1 cases of pineal region(8.7%).According to the findings of CT scan,it can be classified into 4 types.Type I was cystic tumor without vicible mural nodule,which acounted for 8.7%(4 cases) in this series.Type II was cystic tumor with mural nodule,41.3%(19 cases).Type III was solid tumor,43.5%(20 cases).Type IV was a tumor with central cystic degeneration,6.5%(3 cases).Angiography was performed in 4 patients with solid tumor.All of them showed hypervascular solid tumors,without extracranial feeding arteries.The mural nodules had been removed in all the 23 cases belonging to type I and II,even though it could not be seen n type I on CT scan.In 23 belonging to type III and IV,total resection had been done in 17 cases,subtotal resection in 2 cases,and biopsy in 4 cases.The operative mortality rate was 13%(6 cases).The experiences of diagnosis and treatment in such cases are discussed.

关 键 词：颅内血管网状细胞瘤 诊断 治疗 病例分析 CT 外科手术 

分 类 号：R739.41[医药卫生—肿瘤]