CAJ | 학술논문

目的：探讨颈髓髓内血管母细胞瘤的手术治疗。方法回顾性分析5例颈髓髓内血管母细胞瘤患者的临床特征、影像学表现、肿瘤切除情况以及手术前后神经功能改变。结果4例患者肿瘤全切除，1例患者次全切除。次全切除患者术后辅以直线加速器放射治疗。术后神经功能改善4例、无改善0例、加重1例。行放射治疗的患者复查未见肿瘤增大。结论颈髓髓内血管母细胞瘤的诊断主要依靠MRI，正确的手术策略与熟练的显微手术技巧至关重要。对于残留肿物可行直线加速器放射治疗。
목적：탐토경수수내혈관모세포류적수술치료。방법회고성분석5례경수수내혈관모세포류환자적림상특정、영상학표현、종류절제정황이급수술전후신경공능개변。결과4례환자종류전절제，1례환자차전절제。차전절제환자술후보이직선가속기방사치료。술후신경공능개선4례、무개선0례、가중1례。행방사치료적환자복사미견종류증대。결론경수수내혈관모세포류적진단주요의고MRI，정학적수술책략여숙련적현미수술기교지관중요。대우잔류종물가행직선가속기방사치료。
Objective To study the microsurgical treatment of the intrameduallary hemangioblastoma of cervical spinal cord .Methods Clinical manifestation , imaging features and managements of 5 patients with intrameduallary hemangioblastoma in cervical spinal cord were analyzed retrospectively .The preoprative and postoprative nervous function were evaluated .Results Gross total resection was achieved in 4 cases and subtotal resection in 1 case .The patient was performed linear accelerator-based radiosurgery following the subtotal resection .Postoperative clinical symptoms were improved in 4 cases,unchanged in 0 and aggravted in 1.The residual tumor was not enlarged after irradiation .Conclusions MRI is recommended as the principal diagnostic method for the intrameduallary hemangioblastoma of cervical spinal cord .Approprite operative strategies and skillful microsurgical rechniques are the base of the successful operation .Linear accelerator-based irradiation is suggested for the residual tumor .