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目的探讨脊髓血管母细胞瘤的诊断和微创外科手术治疗方法。方法回顾性分析16例脊髓血管母细胞瘤的病人,对其影像学特点,微创外科治疗的方法进行总结。12例病人行术前MRI检查,9例病人行脊髓血管造影,其中6例行术前栓塞。全部病人行微创外科手术治疗。结果单纯手术10例,其中3例由于术中出血汹涌而部分切除。手术+栓塞6例,病变全切。术后11例症状明显改善,4例无明显变化,1例恶化。结论MRI和脊髓血管造影对该病的诊断和手术方案的制定是必需的。早期诊断和微创外科手术全切能够极大地保护脊髓功能,微创外科手术联合术前栓塞是治疗的首选。
Objective To investigate the diagnosis and minimally invasive surgical treatment of spinal hemangioblastoma. Methods A retrospective analysis of 16 cases of patients with spinal hemangioblastoma, imaging features, minimally invasive surgical treatment were summarized. Twelve patients underwent preoperative MRI and nine patients underwent spinal angiography. Six patients underwent preoperative embolization. All patients underwent minimally invasive surgery. Results Simple surgery in 10 cases, of which 3 cases due to surging bleeding and partial resection. Surgery + embolism in 6 cases, all lesions. Eleven patients had marked improvement in symptoms, 4 had no significant change, and 1 had worsened. Conclusion MRI and spinal angiography are necessary for the diagnosis and surgical planning of the disease. Early diagnosis and minimally invasive surgical resection can greatly protect the spinal cord function, minimally invasive surgery combined with preoperative embolization is the treatment of choice.