中颅凹底巨大海绵状血管瘤治疗方法的选择

Choice of Treatment Method for the Middle Fossa Giant Cavernous Hemangiomaes

目的 通过回顾临床表现和影像学的特征及不同治疗方法的结果 ,探讨中颅凹底巨大海绵状血管瘤(GCH)的治疗方法。方法 9例中颅凹底GCH均行额颞开颅去骨瓣减压术 ,肿瘤全切除 4例 ,部分切除 1例 ,活检4例。活检中 2例及部分切除 1例行放射治疗。结果 无手术死亡。随访 9个月～ 11.5年 ,4例全切除者无GCH复发 ,3例放疗者肿瘤消失 ,未治疗者 2例无变化。结论 肿瘤放疗和人工栓塞可以增加手术全切除率。

Objective The purpose of this paper is to review the clinical presentations, the features of the radiology, and the results of different treatment method to research the diagnosis and treatment for middle fossa giant cavernous hemangioma (GCH).Methods Nine patients with middle fossa GCH were operated with frontotemporal craniotomy and removal osteoflap depressure. Among of them, 4 patients were total resected, 1 was partially resected, 4 were biopsied. Radiotherapy was performed in 1 case of a tumor partial removal and in 2 of 4 cases biopsies was done. Results Follow-up was done from 9 months to 11.5 years. All 9 patients were operated without death. In 4 tumor total removal cases there were no recurrence,in 3 radiotherapy cases tumor disappeared, no changes occurred in 2 cases of untreatment found by biopsy. Conclusion An supplementary radiotherapy and an artificial embolism may accrete the rate of tumor removal. Radiotherapy is effective for GCH.