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目的探讨脊髓血管母细胞瘤的诊断和治疗方法。方法对42例脊髓血管母细胞瘤患者的影像学特点和手术方法进行总结,并对38例患者进行了平均4.2年的随访。结果脊髓血管母细胞瘤大多数表现为边界清晰的实质性占位,增强后明显均匀的强化。对于鉴别困难的病例进行脊髓血管造影可以明确诊断。本组42例均获得全切,术后症状改善者27例,6例无明显变化,5例加重。结论脊髓 MRI 及血管造影可以对脊髓血管母细胞瘤作出定位和定性诊断,手术疗效可靠,全切肿瘤可治愈本病,同时早期诊断和早期治疗能最大限度的保护脊髓功能。
Objective To investigate the diagnosis and treatment of spinal hemangioblastoma. Methods The imaging features and surgical methods of 42 patients with hemangioblastoma were summarized. 38 patients were followed up for an average of 4.2 years. Results Most of the spinal cord hemangioblastoma showed clear and substantial border mass, enhanced significantly enhanced after uniform. For the identification of difficult cases of spinal angiography can confirm the diagnosis. The group of 42 patients were fully resected, postoperative symptoms were improved in 27 cases, 6 cases no significant change in 5 cases. Conclusion Spinal cord MRI and angiography can make localization and qualitative diagnosis of spinal hemangioblastoma. The curative effect is reliable and the tumor can be completely cured. The early diagnosis and early treatment can protect the spinal cord function to the maximum extent.