小脑血管网织细胞瘤的诊断与治疗

Diagnosis and treatment of hemangioblastomas in cerebella

目的探讨小脑血管网织细胞瘤的诊断与治疗方法。方法 2008～2013年手术治疗小脑血管网织细胞瘤患者24例,其中囊性型14例,实性型7例,囊在瘤内型3例。结果 24例肿瘤均全切,术后均无严重并发症。结论囊在瘤内型因其自身特点有独立分类意义,MRI及DSA对该病诊断有重要价值,术前准确诊断对确定手术方案、提高手术成功率有重要意义。

Objective To investigate the diagnostic and therapeutic principles of hemangioblastomas. Method The clinical data of 24 patients, with hemangioblastomas diagnosed by postoperative pathological examination, of whom, 13 had cystic hemangioblastomas, 7 solid and 3 within-a-cyst, were analyzed retrospectively. All the patients, who received CT and MRI examinations before the operation, underwent microneurosurgery. Results The total removal of the tumors was accomplished in all the patients. No patient died from the operation and there were no severe postoperative complications in all the patients. Conclusions Within-a-cyst hemangioblastoma should be classified as a special type due to its clinical features. MRI and DSA are of important values to the definite preoperative diagnosis, which plays an important role in making operation plan and improving the success rate of surgery in the patients with hemangioblastomas.