Xu Qiwu, Bao Weimin, Pang Li
Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai 200040, China.
Chin Med J (Engl). 2002 Jul;115(7):1010-3.
To investigate the diagnosis and surgical techniques of intramedullary hemangioblastoma of the cervical spinal cord.
MR imaging and the methods and results of surgery were analyzed in 21 patients.
The tumors were divided into three types on MR imaging. Syringeal type, where the tumor varied in size and was accompanied by syringobulbia and syringomyelia; Cystic type, where the tumor presented as a cyst with a small mural node; and Solid type, where the tumor was revealed as a huge solid mass. All tumors were totally removed and diagnosis was confirmed by histological study. Post-operative neurological status was improved in 20 patients and aggravated in 1.
The localization and the nature diagnosis of the tumor can be made by cervical MR imaging. Operative methods vary with tumor types. It is the most important that the tumor is dissected along the right interface and removed after devascularization.
探讨颈髓髓内血管母细胞瘤的诊断及手术技巧。
分析21例患者的磁共振成像（MR成像）以及手术方法和结果。
MR成像显示肿瘤分为三种类型。空洞型，肿瘤大小不一，伴有延髓空洞症和脊髓空洞症；囊性型，肿瘤表现为有小壁结节的囊肿；实性型，肿瘤表现为巨大实性肿块。所有肿瘤均被完全切除，组织学研究证实诊断。20例患者术后神经功能状态改善，1例恶化。
颈椎MR成像可对肿瘤进行定位及定性诊断。手术方法因肿瘤类型而异。沿正确界面分离肿瘤并在去血管化后切除最为重要。
