脊髓血管母细胞瘤的诊断和显微手术治疗

目的探讨脊髓血管母细胞瘤的诊断和显微手术治疗技巧.方法回顾性分析11例脊髓血管母细胞瘤病人的临床特征、影像学诊断、治疗方法和预后,均行显微外科手术切除肿瘤.结果肿瘤均全切除.病人平均住院15d,术后短时间内症状改善8例,无变化3例；无手术死亡病例.8例随访6～36个月,无肿瘤复发,神经功能均获得不同程度改善.结论MRI对脊髓血管母细胞瘤的诊断是必要的.熟练的显微外科手术技术和丰富的髓内肿瘤切除经验对手术成功非常关键.

Diagnosis and microsurgical strategies for spinal hemangioblastomas

Objective To explore the diagnosis and microsurgical techniques of spinal hemangioblastoma. Methods Clinical data including clinical manifestations, imaging data, surgical treatment and prognosis in 11 patients with spinal hemangioblastoma were reviewed retrospectively. Microsurgery was performed in all the patients for tumor resection. Results Total tumor resection was achieved in all the patients. The mean hospital stay was 15 days. The preoperative symptoms improved in 8 patients and did not obviously change in 3. No patients died. Eight patients were followed up for 6 to 36 months. There was no recurrence during follow-up period, and the neural function was improved to different degrees in all the patients. Conclusions MRI examination is essential for the diagnosis of spinal hemangioblastomas. The skillful microsurgical technique and rich experience in tumor resection are necessary for a successful surgery.