平阳霉素注射治疗口腔颌面部血管瘤22例分析

目的:评价平阳霉素注射治疗口腔颌面部各种血管瘤的疗效。方法:对22例口腔颌面部血管瘤采用平阳霉素注射,并对病例治疗进行回顾性分析。结果:所有病例在治疗结束后,治愈和基本治愈率达86.4%,好转率9%,有效率为95.5%。结论:平阳霉素注射治疗口腔颌面部血管瘤疗效高,疗程短,不良反应发生率低,是一种安全、有效、简便、经济的方法,值得临床推广应用。

膝关节内滑膜血管瘤9例诊治分析

目的:报告9例膝关节内滑膜血管瘤病例,以提高对膝关节内滑膜血管瘤的诊治水平。方法:对9例膝关节内滑膜血管瘤患者的临床资料及手术效果进行分析总结。结果:9例患者全部行开放手术治疗,平均随访23.9个月。随访期间,患者疼痛、关节活动受限、关节肿胀等症状明显改善,肿瘤未复发。结论:膝关节内滑膜血管瘤临床确诊较困难,彩色多普勒超声检查及核磁共振检查有助于对本病的术前诊断。提高早期诊断率,加强对本病的认识是关键,开放手术治疗可取得优良的疗效。

Diagnosis and treatment of intramedullary hemangioblastoma of cervical spinal cord

OBJECTIVE: To investigate the diagnosis and surgical techniques of intramedullary hemangioblastoma of the cervical spinal cord. METHODS: MR imaging and the methods and results of surgery were analyzed in 21 patients. RESULTS: The tumors were divided into three types on MR imaging. Syringeal type, where the tumor varied in size and was accompanied by syringobulbia and syringomyelia; Cystic type, where the tumor presented as a cyst with a small mural node; and Solid type, where the tumor was revealed as a huge solid mass. All tumors were totally removed and diagnosis was confirmed by histological study. Post-operative neurological status was improved in 20 patients and aggravated in 1. CONCLUSIONS: The localization and the nature diagnosis of the tumor can be made by cervical MR imaging. Operative methods vary with tumor types. It is the most important that the tumor is dissected along the right interface and removed after devascularization.