CAJ | 학술논문

目的探讨脊髓血管母细胞瘤的手术治疗策略.方法回顾性分析40例血管母细胞瘤患者的临床特点、术前MRI表现、术中所见、手术切除情况、术后MRI表现及随访结果,并采用McCormick评分标准评价术前术后脊髓功能.结果术后病理均证实为血管母细胞瘤.40例患者均行显微外科手术,镜下全切肿瘤.术后症状改善30例,无变化8例,加重2例,无手术并发症.结论后正中入路是安全有效切除脊髓血管母细胞瘤的方法,术后大部分患者可以获得好的治疗效果,有症状者应积极手术.
목적 탐토척수혈관모세포류적수술치료책략.방법 회고성분석40례혈관모세포류환자적림상특점、술전MRI표현、술중소견、수술절제정황、술후MRI표현급수방결과,병채용McCormick평분표준평개술전술후척수공능.결과 술후병리균증실위혈관모세포류.40례환자균행현미외과수술,경하전절종류.술후증상개선30례,무변화8례,가중2례,무수술병발증.결론 후정중입로시안전유효절제척수혈관모세포류적방법,술후대부분환자가이획득호적치료효과,유증상자응적겁수술.
Objective To investigate the therapeutic strategies of spinal cord hemangioblastoma.Method Clinical data of 40 patients with intramedually hemangioblastoma were analyzed.The function of spinal cord was evaluated before and after operation with McCormick scale.Results The diagnosis of hemangioblastoma was confirmed by postoperative pathology.All the 40 patients underwent complete excision under microscope.The postoperative neurological status was improved in 30 patients,remained unchanged in 8,and aggravated in 2.There was no other surgical complication.Conclusions Spinal cord hemangioblastoma can be safely and effectively removed via posterior approach.Postoperatively,clinical outcome is excellent in the majority of cases.Patients with symptoms should be operated actively.