摘要
目的探讨以出血为首发症状的脑内海绵状血管瘤(CH)的诊断和治疗。方法回顾性分析近5年16例以出血为首发症状的脑内CH患者的资料,其中幕上皮质下10例,基底节1例,脑室内1例,小脑1例,脑干3例。结果脑内CH全切率和手术死亡率为100%和0。长期随访优良率87.5%,无复发。结论提高对以出血为首发症状的脑内CH的识别能力,利用CT及MRI早期诊断并果断手术可以提高本病的诊治水平。
Objective To study the diagnoses and treatment of cerebral cavernous hemangioma（CH） that had presented with hemorrhage as first symptoms. Methods The data of 16 patients with cerebral CH that had presented with hemorrhagic as first symptoms was analyzed retrospectively. Results The rate of total resection of cerebral CHs and the surgical mortality were 100% and nil in the group. There were excellent and good outcomes during long term follow-up period in 87.5% in this group. Conclusion It is important to heighten the ability of identification of cerebral CH that had presented with hemorrhagic as first symptoms. Both CT and MR1 are of great value in the diagnosis of the disease. The microsurgical technique and proper surgical approach are essential to improve treatment of CHs.
出处
《江西医药》
CAS
2005年第12期779-780,共2页
Jiangxi Medical Journal
关键词
海绵状血管瘤
出血
诊断
治疗
cavernous hemangioma
hemorrhage
diagnose
treatment
