CAJ | 학술논문

目的探讨鞍旁海绵状血管瘤的临床特点及显微外科手术治疗的效果.方法对12例鞍旁海绵状血管瘤患者的临床资料和显微外科手术治疗效果进行回顾性分析.鞍旁海绵状血管瘤的MRI-T1WI呈稍低信号,T2WI呈高信号,增强扫描病变呈显著强化.结果 9例肿瘤全切除,3例次全切除,无手术死亡病例发生.术后颅内高压症状均得到缓解；6例有视力、视野障碍者,改善5例,无变化1例；5例术前眼球活动障碍者,改善3例,无变化2例；4例术前有垂体内分泌功能障碍者,改善2例,无变化2例；术后早期并发尿崩症和电解质代谢紊乱3例,同侧动眼神经功能障碍2例.术后随访(30.51±2.57)个月,3例尿崩症和电解质代谢紊乱均痊愈,动眼神经功能障碍恢复l例.12例患者均未见肿瘤复发或增大.结论 MRI检查有助于术前对鞍旁海绵状血管瘤做出正确的诊断；显微外科手术是治疗鞍旁海绵状血管瘤的首选治疗方法.
목적 탐토안방해면상혈관류적림상특점급현미외과수술치료적효과.방법 대12례안방해면상혈관류환자적림상자료화현미외과수술치료효과진행회고성분석.안방해면상혈관류적MRI-T1WI정초저신호,T2WI정고신호,증강소묘병변정현저강화.결과 9례종류전절제,3례차전절제,무수술사망병례발생.술후로내고압증상균득도완해；6례유시력、시야장애자,개선5례,무변화1례；5례술전안구활동장애자,개선3례,무변화2례；4례술전유수체내분비공능장애자,개선2례,무변화2례；술후조기병발뇨붕증화전해질대사문란3례,동측동안신경공능장애2례.술후수방(30.51±2.57)개월,3례뇨붕증화전해질대사문란균전유,동안신경공능장애회복l례.12례환자균미견종류복발혹증대.결론 MRI검사유조우술전대안방해면상혈관류주출정학적진단；현미외과수술시치료안방해면상혈관류적수선치료방법.
Objective To investigate the clinical features and microsurgical outcomes of patients with parasellar cavernous hemangiomas.Methods The clinical data and prognosis of 12 patients with parasellar cavemous hemangiomas treated with microsurgery were retrospectively analyzed.Magnetic resonance imaging showed that cavernous hemangiomas appeared slight hypointensity on T1WI,hyperintense on T2WI,and significant contrast on enhancing.Results Total resection and sub-total resection was achieved in 9 and 3 patients.No death occurred postoperatively.After operation,all patients were released from intracranial hypertension.In 6 patients who had visual disorder,5 patients improved and 1 patient had no change.In 5 patients who had eyeball motor disorder,3 patients improved and 2 patients had no change.In 4 patients who had pituitary gland dyshormonism,2 patients improved and 2 patients had no change.At postoperative early stage,diabetes insipidus and serum electrolyte disorder occurred in 3 patients,2 patients developed oculomotor paralysis.Patients were followed up (30.51 + 2.57) months.Three patients recovered from diabetes insipidus and serum electrolyte disorder,and 1 patient recovered from oculomotor paralysis.No patient suffered tumor recurrence or regrowth.Conclusions The correct diagnosis of parasellar cavernous hemangiomas can be achieved according to the preoperative MRI.Microsurgery is the first-line therapy for parasellar cavernous hemangiomas.