后颅窝血管网状细胞瘤诊断和显微手术治疗

Diagnosis and Microsurgical Treatment for Angioreticuloma in Posterior Cranial Fossa

血管网状细胞瘤是一种较少见的颅内真性血管瘤,本文探讨后颅窝血管网状细胞瘤诊断和外科手术治疗。方法:回顾性分析37例经手术和病理证实的后颅窝血管网状细胞瘤的临床特点、影像学特征和手术疗效。结果:肿瘤全切除35例,部分切除2例。术后神经功能改善30例,加重5例,死亡2例。结论:充分认识血管网状细胞瘤的临床和影像学特征,正确运用手术处理原则和显微外科技术,是提高诊断和手术疗效的关键。

BACKGROUND & OBJECTIVE: Angioreticuloma is a not common intracranial tumor. This study was to investigate the diagnosis and microsurgical treatment for angioreticuloma in posterior cranial fossa. METH-ODS: The clinical and imaging features, surgical outcomes of 37 patients with angioreticuioma in posterior crani-cal fossa confirmed by pathology were analysized retrospectively. RESULTS: Total tumor removal was achieved in 35 cases. Partial removal was achieved in 2 cases. Neurological function was improved in 30 cases after opera-tion, deteriorated in 5 cases, and died in 2 cases. CONCLUSION: The understanding of the clinical and imaging features of angioreticuloma and properly applying the microsurgical principle and techniques can improve the diagno-sis and surgical outcomes on the angioreticuloma in posterior fossa.