单纯椎管内硬膜外海绵状血管瘤的临床分析  

Clinical analysis of pure spinal epidural cavernous hemangiomas

作　　者：赵传 徐强 王勇 贾珺 马强 朱玉辐 ZHAO Chuan;XU Qiang;WANG Yong;JIA Jun;MA Qiang;ZHU Yufu(Department of Neurosurgery,the Affiliated Hospital of Xuzhou Medical University,Xuzhou Jiangsu 221000,China)

机构地区：[1]徐州医科大学附属医院神经外科,江苏徐州221000

出　　处：《局解手术学杂志》2018年第3期204-208,共5页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的分析并总结单纯椎管内硬膜外海绵状血管瘤的临床表现、诊断及治疗方法。方法回顾性分析我院2012年4月至2016年11月收治的6例单纯椎管内硬膜外海绵状血管瘤患者的临床表现、影像学特点、手术、病理及转归,并结合文献对其总结分析。结果 6例患者病理诊断为椎管内硬膜外海绵状血管瘤,行手术全部切除,术后恢复良好。术后随访13~68个月,随访时发现患者均有神经功能的渐进改善且无病变复发。结论单纯椎管内硬膜外海绵状血管瘤罕见,临床上易与其他椎管内病变混淆,MRI是重要的影像学检查方法,病理为确诊方法,手术切除病变是主要治疗方法,预后良好。Objective To analyze and summarize the clinical manifestations,diagnosis and treatment of pure spinal epidural cavernous hemangiomas.Methods We presented a case series of 6 patients with pure spinal epidural cavernous hemangiomas in our hospital from April 2012 to November 2016 with previous articles discussing their clinical presentation,radiological characteristics,surgical technique,pathological features,and functional outcome.Results All patients were diagnosed as pure spinal epidural cavernous hemangiomas by pathology.The cavernous hemangiomas were totally cut and patients recovered well after operations.All patients gradually improved neurologically and achieved a good outcome with no recurrence during the follow-up for 13 to 68 months.Conclusion Pure spinal epidural cavernous hemangioma is rare.It is easily confused with other spinal diseases.MRI is an important imaging examination method.Pathology is the method of diagnosis.Surgical resection is the main method of treatment,and the prognosis is good.

关 键 词：海绵状血管瘤 硬膜外 诊断 治疗 

分 类 号：R651[医药卫生—外科学]