摘要
目的 探讨椎管内脉管瘤的临床、影像学表现及治疗方式。方法 回顾性分析1例椎管内硬膜外脉管瘤患者的临床资料,并对相关文献进行复习。结果 本例男性患者,24岁,无明显诱因突然起病,临床表现为反复发作的背部酸胀痛,每次持续时间数小时至几天不等,随疾病进展,逐渐出现双下肢麻木症状;MRI检查示,T平椎管内占位性病变,呈以稍等T长T信号。予患者介入栓塞结合开放手术治疗,全切肿瘤,术后患者临床症状完全消失,未遗留神经损害后遗症。术后病理检查示,脉管瘤伴混合血栓形成。结论椎管内的脉管瘤极为少见,影像学检查可提供明确的定位诊断,但定性诊断仍依靠病理活检。介入栓塞治疗结合开放手术切除病变可以大幅降低出血风险,减小开放手术难度。全切肿瘤,可防止严重神经功能损害,降低复发率,明显改善患者预后。
Objective To investigate the clinical,imaging findings and treatment of intraspinal hemolymphangioma.Method The clinical data of a patient with intraspinal epidural angioma were analyzed retrospectively,and the relevant literature was reviewed.Results The 24-year-old male patient presented with a sudden onset of the disease without obvious incentives,with repeated episodes of back soreness and pain,each lasting from a few hours to a few days.MRI examination showed a space-occupying lesion in the spinal canal at the level of T_(2-4),showing a signal slightly equal to T_(1) and longer than T_(2).The patient was treated with interventional embolization combined with open surgery,and the tumor was completely removed.The patient s clinical symptoms disappeared completely after surgery.No sequelae of nerve damage remained.Postoperative pathological findings showed angioma with mixed thrombosis.Conclusions Hemolymphangioma in the spinal canal are extremely rare.Imaging examinations can provide a clear localization diagnosis,but the qualitative diagnosis still relies on pathological biopsy.Interventional embolization combined with open surgical resection of lesions can greatly reduce the risk of bleeding and the difficulty of open surgery.Total tumor resection can prevent severe neurological damage,reduce the recurrence rate,and significantly improve the prognosis of patients.
作者
李泽浩
隋建美
韩锋
杨明
冯洋
赵春瑞
LI Ze-hao;SUI Jian-mei;HAN Feng(Clinical Medical College,Guizhou Medical University,Guiyang 550025,China)
出处
《临床神经外科杂志》
2022年第5期561-564,共4页
Journal of Clinical Neurosurgery
基金
贵州省科技计划项目基金资助项目(黔科合LH字[2017]7213号)。
关键词
脉管瘤
椎管内肿瘤
脊髓血管造影
介入栓塞治疗
手术治疗
hemolymphangioma
intraspinal tumor
spinal angiography
interventional embolization
surgical treatment
