CAJ | 학술논문

目的探讨脊髓髓内海绵状血管瘤(SIC)的临床特点与显微外科技巧.方法回顾性分析2005年6月至2012年12月北京天坛医院和泰安市中心医院经病理学证实的21例SIC患者临床资料,患者年龄平均39岁.对所有患者进行显微外科手术治疗并进行随访.结果根据病理生理过程本组病例起病方式为:(1)急性起病型:5例(23.8％);(2)反复发作型:9例(42.8％);(3)缓慢进展型:7例(33.4％).21例病灶全切20例,次全切1例.术后随访神经功能活动改善13例,无变化6例,加重2例.结论 SIC的不同临床特征与其病理生理学过程有关.不同类型SIC在MRI扫描中有特征性表现.正确的手术方法和熟练的显微手术技巧是提高SIC手术疗效的关键.
목적 탐토척수수내해면상혈관류(SIC)적림상특점여현미외과기교.방법 회고성분석2005년6월지2012년12월북경천단의원화태안시중심의원경병이학증실적21례SIC환자림상자료,환자년령평균39세.대소유환자진행현미외과수술치료병진행수방.결과 근거병리생리과정본조병례기병방식위:(1)급성기병형:5례(23.8％);(2)반복발작형:9례(42.8％);(3)완만진전형:7례(33.4％).21례병조전절20례,차전절1례.술후수방신경공능활동개선13례,무변화6례,가중2례.결론 SIC적불동림상특정여기병리생이학과정유관.불동류형SIC재MRI소묘중유특정성표현.정학적수술방법화숙련적현미수술기교시제고SIC수술료효적관건.
Objective To explore the clinical features and microsurgical treatment of spinal intramedullary cavernomas (SICs).Methods A total of 21 patients with pathologically confirmed SIC undergoing microsurgical resection of cavernomas at Beijing Tiantan Hospital and Taian Central Hospital from June 2005 to December 2012 were reviewed retrospectively.Results The postoperative neurological status improved (n=13) and remained unchanged (n =6) and aggravated (n =2).Conclusion The clinical features of SICs are related with their different pathological processes.Magnetic resonance imaging (MRI) is specific for the diagnosis of SICs.Appropriate strategies and refined microsurgical techniques are essential for improving the clinical efficacies of SICs.