【摘要】 目的 总结脊髓海绵状血管瘤显微外科治疗的经验。方法 对2006~2009年收治的10例脊髓海绵状血管瘤病例进行了回顾性分析。手术均采用后正中入路,显微直视下切除病变。结果 10例脊髓海绵状血管瘤病例中全切10例。术后8例脊髓功能改善,2例无变化。结论 脊髓MRI检查是确诊本病的惟一可靠手段,娴熟的显微神经外科技术可使该类手术治疗取得良好效果。

    【关键词】 血管瘤; 海绵状; 中枢神经系统; 显微外科手术; 磁共振成像

    Diagnosis and microsurgery of spinal cord cavernous hemangiomas

    GAO Jing-liang.Siping centeal Hospital, Siping city,Jilin province,Siping 136000,China

    【Abstract】 Objective To sum up the experiences in microneurosurgical treatment of spinal cord cavernous hemangiomas (SCH).Methods A retrospective analysis was made of 10 cases of SCH admitted from March 2006 to December 2009. Operations were performed via a posterior midline approach under a microscope.Results Total SCH resection was done in 10 cases. The postoperative neurological status was improved in 8 cases, unchanged in 2. No postoperative death occurred.Conclusion Spinal MRI examination is a reliablediagnostic method of SCH. Skillful microneurosurgical technique can achieve a rather good result. ......