鞍旁海绵状血管瘤的误诊研究

Misdiagnosis of cavernous hemangioma beside sella

目的探讨颅中窝鞍旁海绵状血管瘤的误诊原因，提高诊断水平。方法回顾性分析1985年1月～2000年8月收治颅中窝鞍旁海绵状血管瘤22例的临床表现和影像学特点。结果22例鞍旁海绵状血管瘤患者中术前正确诊断仅有5例(占22．73％)，其余17例(占77．27％)分别误诊为脑膜瘤8例、神经纤维瘤3例、垂体瘤3例、脊索瘤2例、胆脂瘤1例。结论鞍旁海绵状血管瘤的临床表现缺乏特异性，容易误诊；综合分析影像学检查特点，特别是磁共振成像(MRI)特征性表现有助于本病的正确诊断。

Objective To explore the cause of misdiagnosis and improve the diagnostic accuracy for cavernous hemangioma beside sella of the middle cranial fossa.Methods Retrospective analysis of the clinical manifestation and photographic characteristics in 22 cases from 1985 to 2000 were made.Results Of 22 such cases,only 5 cases(22.73 %) were correctly diagnosed and the others (77.27 %) were misdiagnosed as meningioma (8 cases),neurofibroma(3 cases),hypophysoma(3 cases),notochordoma(2 cases) and cholesteatoma(1 ca...