21例后颅窝血管母细胞瘤临床诊治分析  

Analysis of clinical diagnosis and treatment of 21 cases of posterior cranial fossa hemangioblastoma

作　　者：郑杰[1] 邢振义[1] 孙来广[1] 王磊[1] 宋来君[2] Zheng Jie;Xing Zhenyi;Sun Laiguang;Wang Lei;Song Laijun(Department of Neurosurgery, Henan Xinxiang Central Hospital, Henan Xinxiang 453000, China;Department of Neurosurgery, the First Affiliated Hospital of Zhengzhou University, Henan Zhengzhou 450052, China)

机构地区：[1]新乡市中心医院神经外科,河南新乡453000 [2]郑州大学第一附属医院神经外科,河南郑州450052

出　　处：《现代肿瘤医学》2019年第17期3031-3034,共4页Journal of Modern Oncology

摘　　要：目的:分析后颅窝血管母细胞瘤的诊治疗效。方法:回顾性分析21例后颅窝血管母细胞瘤的影像学资料、外科治疗方法和预后。结果:19例囊性肿瘤患者行囊结节切除术,2例实质性肿瘤中:1例行肿瘤全切除术、1例行次全切除术(术后复发再次手术治疗)。术后神经系统症状明显改善。结论:头颅CT和MRI是后颅窝血管母细胞瘤术前诊断的重要手段;治疗应该首选手术治疗,囊性肿瘤手术效果好;实质性肿瘤次全切患者易复发。Objective:To analyse the diagnosis and treatment of hemangioblastoma in the posterior fossa.Methods:Radiographic data,surgical treatment and prognosis of 21 cases of posterior fossa hemangioblastoma were retrospectively analyzed.Results:19 cases were treated by tumor resection.Among 2 cases of cystic tumor.1 cases underwent total resection,1 cases underwent subtotal resection(reoperation after recurrence).Conclusion:Cranial CT and MRI are important methods for the preoperative diagnosis of hemangioblastoma in the posterior fossa.The surgical treatment should be the first choice,and the surgical effect of cystic tumor is good.The patients with parenchymal tumor subtotal resection is relapsing.

关 键 词：血管母细胞瘤 影像特点 外科治疗 

分 类 号：R732.2[医药卫生—肿瘤]