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目的 探讨颅内血管网织细胞瘤的临床特点及治疗方法。方法 对72例颅内血管网织细胞瘤的临床资料进行回顾性分析,并结合文献对其临床、病理及影像学特点等问题进行了讨论。结果 72例颅内血管网织细胞瘤占同期颅内肿瘤的1.57%,64例位于幕下,占89%,囊性肿瘤52例,占72%。72例均行手术治疗,58例治愈,9例好转,5例死亡。结论 本病临床特点为男性多于女性,多发于小脑半球,以囊性者居多。CT扫描及MRI有助于诊断。主要治疗方法为手术切除,术中注意切除瘤结节,是防止肿瘤复发的关键。
Objective To investigate the clinical features and treatment of intracranial hemangiomas. Methods The clinical data of 72 cases of intracranial hemangiomas were retrospectively analyzed and the clinical, pathological and imaging characteristics were discussed in combination with the literature. Results 72 cases of intracranial hemangiomas account for 1.57% of intracranial tumors in the same period, 64 cases are under the screen, accounting for 89%. Cystic tumors are 52 cases, accounting for 72%. All 72 patients underwent surgical treatment, 58 were cured, 9 improved and 5 died. Conclusion The clinical features of this disease are more than men and women, mostly in the cerebellar hemisphere, mostly cystic. CT scan and MRI help to diagnose. The main treatment for surgical resection, intraoperative resection of tumor nodules, is the key to prevent recurrence of the tumor.