颅内血管母细胞瘤的诊断及显微手术治疗  

Diagnosis and microsurgical treatment of intracranial hemangioblastomas

作　　者：张开鹏[1] 刘德财[1] 金澎[1] ZHANG Kai-peng LIU De-cai JIN Peng.(Affiliated Hospital, Qingdao University, Qingdao, 266000, Chin)

机构地区：[1]青岛大学附属医院神经外科,青岛266000

出　　处：《中国临床神经外科杂志》2016年第10期601-602,605,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨颅内血管母细胞瘤（HB）的诊断方法以及手术治疗。方法回顾性分析2010年1月～2015年6月手术治疗的54例颅内HB的临床资料。结果54例中，44例为囊伴结节型肿瘤，8例实质型，2例单纯囊性。肿瘤全切除52例，大部分切除2例。术后无再出血，无死亡病例。术后随访1—5年，肿瘤复发4例。结论MRI是诊断HB的主要方法，影像学分型对于指导手术有帮助，应根据瘤结节位置，合理选择手术入路。Objective To discuss the characteristics of images and surgical treatment of hemangioblastomas （HBs）. Methods The clinical data of 54 patients with HBs treated by microsurgery from January, 2010 to December, 2015 were analyzed retrospectively. The diagnosis of HB was definitely made by the postoperative pathological examination. Results Of 54 HBs, 44 were cyst with mural nodule type, 8 solid type and 2 cyst type according to MRI. Total resection was obtained in 52 patients with HBs and subtotal resection in 2. There were no patients with the complications such as intracranial hematomas. No patient died of the surgery. HBs recurred in 4 patients during the following-up from 1 to 5 years. Conclusions MRI is the main method of preoperative diagnosis of HBs. Typing of HB according to MRI is helpful to surgical treatment. The approach of surgery should be reasonably selected according to the timorous nodule region.

关 键 词：颅内血管母细胞瘤 影像学分型 鉴别诊断 手术治疗 

分 类 号：R739.41[医药卫生—肿瘤] R651.11[医药卫生—临床医学]