周良辅 杜固宏 上海医科大学附属华山医院神经外科(200040) 中国神经精神疾病杂志 1999 0 0 1


    关键词：血管母细胞瘤；实质性脑瘤；后颅窝；显微外科 期刊 zgsjjsjbzz 0 论著与学术交流 fur -->


    

【摘要】 目的 探讨后颅窝实质性血管母细胞瘤(PFSHs)的诊断和治疗。方法 回顾性分析经外科手术和病理证实的22例资料。结果 仅13/22获术前确诊。肿瘤全切20例，手术死亡2例。20例随访2个月至8年(平均2年)，Kanofsky评分：80分15例，60～70分1例，死亡4例。结论 MRI和DSA是术前诊断PFSHs的主要方法，PFSHs仍是神经外科较难处理的肿瘤，术中应用特殊的显微外科技术和提高操作技巧可提高手术疗效。

    Posterior Fossa Solid Hemangioblastomas:Diagnosis and Treatment. ZhouLiangfu, DU Guhong. Department of Neurosurgery, Hua Shan Hospital, Shanghai MedicalUniversity, 12 Wulumuqi Zhong Road Shanghai. 200040. Tel:021-62489999-487

    【Abstracts】 Objective To investigate the diagnosis andtretment of the posterior fossa solid hemngioblastoma (PFSHs).Methods Thedata of 22 patients with PFSHs verified by surgery and pathology were analysizedretrospectively.Results Preoperative definitive diagnosis rate was13/22. Total tumor removal was achived in 20 cases. Two cases died of operation. Afollow-up study from 2 months to 8 years (average 2 years)was performed in 20 patients.Kanofsky scale was equal to or more than 80 in 15 cases, 60-70 in 1 case and 4 patientsdied.Conclusions MRI and DSA are major preoperatively diagnositicmodalities for PFSHs. PFSHs are still challenging neoplasms.The application of specialmicrosurgical technique and improvement of operative manipulation can improve the surgicalefficacy.

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