腰椎管内哑铃型血管外皮瘤1例并文献复习  

Dumbbell hemangiopericytoma in lumbar spinal( report of 1 case and review of literature)

作　　者：孙硕 张金凤 周辉 施辉 

机构地区：[1]徐州医科大学附属连云港医院神经外科,连云港222000

出　　处：《临床神经外科杂志》2017年第6期463-465,共3页Journal of Clinical Neurosurgery

基　　金：江苏省高层次人才项目(WSW-166)

摘　　要：目的探讨腰椎管内哑铃型血管外皮瘤的诊治经验。方法回顾性分析1例腰椎管内哑铃型血管外皮瘤患者的临床资料;手术采用后正中入路,显微外科技术切除腰1-2椎体水平髓外硬脊膜下肿瘤。结果术后MRI检查示,椎管内肿瘤全切除;病理检查证实为血管外皮瘤。术后半年随访,患者恢复好,未见有复发迹象。结论腰椎管内血管外皮瘤病例少见,病理检查是主要确诊方法;显微神经外科技术切除血管外皮瘤结合术后放疗可获得较好的预后。其复发率及转移率高,有必要对其进行长期随访。Objective To summarize the experience of diagnosis and treatment of dumbbell hemangiopericytoma（ HPC） in the lumbar spinal. Methods The clinical data of one patient with dumbbell HPC in the lumbar spinal was were analyzed retrospectively. The resection of lumbar spinal 1-2 vertebral body tumer was performed by the posterior midline approach with microsurgical technique. Results Pathologically confirmed HPC and postoper-ative MRI showed that the intraspinal tumors were completely removed. After the follow-up of 6 months,the patient recovered well and no signs of recurrence were observed. Conclusions HPC in lumbar spinal is rare. Pathological examination is the main diagnostic method. Surgery with microsurgical technique and the postoperative radiotherapy can obtain a better prognosis. Because ofthe high recurrence and metastasis rate,it is necessary for a long follow up.

关 键 词：血管外皮瘤 腰椎 显微外科手术 

分 类 号：R739.4[医药卫生—肿瘤]