中颅凹底巨大海绵状血管瘤的诊断和治疗

Diagnosis and Treatment for the Giant Cavernous Hemangiomas in the Middle Fossa.

目的 :探讨中颅凹底巨大海绵状血管瘤的诊断和治疗方法。方法 :9例中颅凹底巨大海绵状血管瘤 ,行额颞开颅去骨瓣减压术 ,全切除 4例 ,部分切除 1例 ,活检 4例 ,活检中 2例 +部分切除 1例行放射治疗。结果 :无手术死亡。随访期 9个月～ 11 5年 ,4例全切除者无肿瘤复发 ,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。

Aim:To review the clinical presentations,the features of the radiology,and the results of different treatment methods to research the diagnosis and treatment for the middle fossa giant cavernous hemangioma(GCH).Methods:9 cases of the middle fossa GCH were operated on with frontotemporal craniotomy and removal osteoflap depressure.Among them, 4 cases were totally resected, 1 case was partially removed, 4 cases were biopsied.Radiotherapy was done in 1 case of a tumor partial removal and 2 of 4 cases biopsies.Results:9 months～11 5 years were follow up.All 9 cases were operated on with no mortality.4 cases with tumor totally removed were not recurrent,in radiotherapy of 3 cases the tumor disappeared,there were no changes in 2 cases of untreatment after biopsy.Conclusion:An assistant radiotherapy and an artificial embolism may increase the rate of tumor removal.Radiotherapy is effective for GCH.