CAJ | 학술논문

目的：探讨椎管内硬膜外血管脂肪瘤诊断及治疗方法，加强对椎管内硬膜外血管脂肪瘤的认识。方法对我院收治的1例椎管内硬膜外血管脂肪瘤患者的临床资料结合文献予以分析。结果胸椎 Mri 平扫+增强提示：t3-5节段椎管内见梭形异常信号影，t1Wi 呈等信号，t2Wi 呈稍高信号，抑脂序列病灶亦呈高信号，增强后见均匀强化；手术切除椎管内肿瘤，椎管外残留，术后病理诊断为血管脂肪瘤，随访3个月，患者症状明显改善。结论诊断主要以磁共振为依据，治疗以外科手术为主，对浸润型完全切除较困难，部分切除可使患者症状明显改善。
목적：탐토추관내경막외혈관지방류진단급치료방법，가강대추관내경막외혈관지방류적인식。방법대아원수치적1례추관내경막외혈관지방류환자적림상자료결합문헌여이분석。결과흉추 Mri 평소+증강제시：t3-5절단추관내견사형이상신호영，t1Wi 정등신호，t2Wi 정초고신호，억지서렬병조역정고신호，증강후견균균강화；수술절제추관내종류，추관외잔류，술후병리진단위혈관지방류，수방3개월，환자증상명현개선。결론진단주요이자공진위의거，치료이외과수술위주，대침윤형완전절제교곤난，부분절제가사환자증상명현개선。
Objective to investigate an effective diagnosis and treatment of spinal epidural infiltrating angiolipoma,strengthening the awareness of it. Methods The clinical data of 1 cases of Spinal epidural infiltrating angiolipoma patients in our hospital were analyzed with literature. Results thoracic Mri scan and enhancement: spindle abnormal signal intensity was showed in t3 ~ 5 segments intraspinal,isointense signals on t1Wi, slightly hyperintense signals on t2Wi,the tumors, signals increased on stir,whlie homogeneous increased in enhanced Mri ; operation excision intraspinal tumor, spinal residue, postoperative pathological diagnosis of angiomyolipoma,the patients symptoms were improved obviously after 3 months of follow-up. Conclusion the diagnosis of the disease mainly basedon Mri , surgery is the main treatment Method, The infiltrative angiomyolipoma is difficult to resection completely, partial resection can significantly improve symptoms in patients.