椎体血管瘤的诊疗进展  

Advances in the diagnosis and treatment of vertebral hemangioma

作　　者：肖傲 李凯[1] XIAO ao;Li Kai

机构地区：[1]山西医科大学第二医院,山西太原030000

出　　处：《中华骨与关节外科杂志》2023年第S01期180-182,共3页Chinese Journal of Bone and Joint Surgery

摘　　要：椎体血管瘤是较常见的脊柱良性病变。诊断主要依靠症状、影像学及组织病理学检查。X线检查可观察到栅栏状;CT轴位图像上,典型表现为“斑点”或“圆点”外观,在矢状位和冠状位,可见“灯芯绒”征;MRI图像上,典型的椎体血管瘤存在血管通道和脂肪过度生长和骨小梁增厚。椎体血管瘤一般无症状,偶尔可表现为疼痛,如有神经根脊髓压迫,可导致神经症状。当出现疼痛或神经症状时,应给予相关治疗,目前临床中存在多种治疗案,如放射治疗、动脉栓塞术、无水乙醇注射、椎体成形术、开放手术等。由于发病率相对低,对于最佳的方案,目前还没有达成共识。Vertebral hemangioma is a relatively common benign lesion of the spine.Diagnosis mainly depends on symptoms,imaging and histopathology.X-ray examination can observe the fence shape;In axial CT images,the appearance of"spots"or"dots"is typical.In sagittal and coronal images,the"corduroy"sign can be seen.On MRI,a typical vertebral hemangioma is characterized by vascular channels and fat overgrowth and trabecular thickening.Vertebral hemangiomas are usually asymptomatic,occasionally painful,and may cause neurological symptoms if there is nerve root spinal cord compression.When pain or neurological symptoms appear,relevant treatment should be given.Currently,there are many clinical treatment options,such as radiation therapy,arterial embolization,anhydrous ethanol injection,vertebroplasty,open surgery,etc.Because the incidence is relatively low,there is no consensus on the best course of action.

关 键 词：椎体血管瘤 侵袭性椎体血管瘤 症状性椎体血管瘤 治疗 综述 

分 类 号：R738.1[医药卫生—肿瘤]