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目的:探讨实质性小脑血管母细胞瘤的临床特征及显微手术治疗。方法:本研究回顾性分析12例实质性小脑血管母细胞瘤病例,通过研究每个病例的临床表现、影像学表现、手术经过、治疗效果等临床资料,对该病的临床特点进行总结。结果:12例患者术前头颅核磁共振检查均发现小脑病灶强化明显、界限清、血管流空效应明显。手术全切11例,次全切1例。术后治愈好转11例,死亡1例。术后1年随访7例,复发1例。结论:实质性小脑血管母细胞瘤首选手术治疗。完善的术前检查,包括头颅CT、核磁共振、脑血管数字减影有助于明确诊断及设计手术方案。射频热凝辅助下手术切除肿瘤可能减少术中出血。
Objective: To investigate the clinical features and microsurgical treatment of substantial cerebellar hemangioblastoma. Methods: We retrospectively analyzed 12 cases of cerebellar hemangioblastoma retrospectively. The clinical features of each case were analyzed based on clinical data, imaging findings, surgical procedures, and therapeutic effects. Results: Preoperative skull MRI examination of 12 patients showed that the lesions of cerebellum were strengthened obviously, the boundaries were clear and the vasodilator effect was obvious. Total resection in 11 cases, sub-total resection in 1 case. Postoperative improvement in 11 cases, 1 case of death. One year follow-up of 7 cases, 1 case of recurrence. Conclusion: The primary surgical treatment of essential cerebellar hemangioblastoma. Perfect preoperative examination, including head CT, MRI, cerebrovascular digital subtraction helps to confirm the diagnosis and design of surgical options. Radiofrequency ablation assisted surgery to remove the tumor may reduce intraoperative bleeding.