發(fā)布時間：2019-03-27 10:17

【摘要】：目的探討顱骨海綿狀血管瘤的影像、病理學特點及手術(shù)療效,以提高對該病的診治。方法回顧性分析10例經(jīng)病理證實的顱骨海綿狀血管瘤的臨床及影像學資料及手術(shù)療效,并復習文獻。結(jié)果 8例位于額骨,頂骨及枕骨各1例,X線平片表現(xiàn)為邊界清楚的類圓形低密度影。CT平掃表現(xiàn)為高密度或稍高密度,骨窗位常呈特征性的蜂窩狀或日光放射狀的溶骨性改變。MRI信號特點復雜,MRI平掃表現(xiàn)為高低信號混雜影為主,增強后不均勻強化。9例患者行病變擴大切除術(shù)加鈦網(wǎng)修補術(shù),1例行病變擴大切除術(shù)。肉眼見病變呈暗紅色,突出顱骨表面;鏡下見大量囊狀擴張的壁薄血管,血管腔內(nèi)被血細胞填充,組織分化成熟。隨訪3至24個月無復發(fā)。結(jié)論顱骨海綿狀血管瘤影像學表現(xiàn)具有一定特征性,對于單發(fā)病灶,行擴大整塊切除加一期顱骨缺損修補術(shù)治療效果滿意。
[Abstract]:Objective to investigate the imaging, pathological features and surgical effect of cavernous hemangioma of skull in order to improve the diagnosis and treatment of cavernous hemangioma of skull. Methods the clinical and imaging data and surgical results of 10 cases of cavernous hemangioma of the skull proved by pathology were retrospectively analyzed and the literature was reviewed. Results 8 cases were located in frontal bone, 1 case in parietal bone and 1 case in occipital bone. The bone window was usually characterized by honeycomb or radiate osteolytic changes. The signal characteristics of MRI were complex, the high and low signal was mainly mixed on plain MRI, and the enhancement was uneven after enhancement. 9 patients underwent extensive resection of lesions and titanium mesh repair, and 9 patients underwent extensive resection of lesions and titanium mesh repair, and 9 patients underwent extensive resection of lesions and titanium mesh repair. One case underwent extended resection of lesion. The lesions were dark red and protruding to the skull surface, and a large number of cystic dilated wall thin vessels were seen under microscope, filled with blood cells and differentiated into mature tissues. No recurrence was found after 3 to 24 months follow-up. Conclusion the imaging features of cavernous hemangioma of the skull are characteristic. For the single lesion, the treatment result is satisfactory by extended whole resection and one-stage skull defect repair. [WT5 "HZ] conclusion [WT5" BZ]
【作者單位】： 皖南醫(yī)學院弋磯山醫(yī)院神經(jīng)外科;
【基金】：安徽高校自然科學研究項目(編號:KJ2015ZD40)
【分類號】：R739.91

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