海绵状血管瘤脊髓内的诊断及显微外科治疗

Diagnosis and microsurgery of spinal cord cavernous hemangiomas

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。

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.