颈髓髓内血管母细胞瘤的显微外科治疗  

Microsurgery for intrameduallary hemangioblastoma in cervical spinal cord

作　　者：王一芳[1] 谭启富[2] 王正伟[1] 许爱刚[1] 吴章泽 

机构地区：[1]解放军第454医院神经外科,南京210002 [2]南京军区南京总医院神经外科

出　　处：《临床神经外科杂志》2015年第2期123-125,共3页Journal of Clinical Neurosurgery

基　　金：南京军区医学科学"十二五"科研项目(11MA057)

摘　　要：目的探讨颈髓髓内血管母细胞瘤的手术治疗。方法回顾性分析5例颈髓髓内血管母细胞瘤患者的临床特征、影像学表现、肿瘤切除情况以及手术前后神经功能改变。结果 4例患者肿瘤全切除,1例患者次全切除。次全切除患者术后辅以直线加速器放射治疗。术后神经功能改善4例、无改善0例、加重1例。行放射治疗的患者复查未见肿瘤增大。结论颈髓髓内血管母细胞瘤的诊断主要依靠MRI,正确的手术策略与熟练的显微手术技巧至关重要。对于残留肿物可行直线加速器放射治疗。Objective To study the microsurgical treatment of the intrameduallary hemangioblastoma of cervical spinal cord .Methods Clinical manifestation , imaging features and managements of 5 patients with intrameduallary hemangioblastoma in cervical spinal cord were analyzed retrospectively .The preoprative and postoprative nervous function were evaluated .Results Gross total resection was achieved in 4 cases and subtotal resection in 1 case .The patient was performed linear accelerator-based radiosurgery following the subtotal resection .Postoperative clinical symptoms were improved in 4 cases,unchanged in 0 and aggravted in 1.The residual tumor was not enlarged after irradiation .Conclusions MRI is recommended as the principal diagnostic method for the intrameduallary hemangioblastoma of cervical spinal cord .Approprite operative strategies and skillful microsurgical rechniques are the base of the successful operation .Linear accelerator-based irradiation is suggested for the residual tumor .

关 键 词：颈髓 血管母细胞瘤 显微手术 

分 类 号：R651.1[医药卫生—外科学]