脊髓血管脂肪瘤：病因、影像学表现、分类、治疗及预后。
Spinal angiolipoma: etiology, imaging findings, classification, treatment, and prognosis.
作者信息
Si Yu, Wang Zhenyu, Pan Yi, Lin Guozhong, Yu Tao
机构信息
Department of Neurosurgery, Peking University Third Hospital, No. 49. North Garden Street, HaiDian District, Beijing, 100191, People's Republic of China,
出版信息
Eur Spine J. 2014 Feb;23(2):417-25. doi: 10.1007/s00586-013-3073-1. Epub 2013 Nov 5.
Abstract
PURPOSE
To summarise our experience treating patients with spinal angiolipomas (SAs) and to evaluate factors relating to its prognosis.
METHODS
We retrospectively reviewed the records of patients diagnosed with SAs who received surgical treatment from January 2001 to February 2013.
RESULTS
Twenty-one patients were described. We divide SAs into two types: "intraspinal" and "dumbbell-shaped". The former were further subclassified as "with lipomatosis" and "without lipomatosis". Overweight people are more likely to get the "with lipomatosis" type which needs different surgical strategy and/or a diet therapy to get better outcomes.
CONCLUSION
Diagnosis of SAs should be made with reference to clinical, radiological, and pathological findings. Application of different methods is needed to treat SAs.
摘要
目的
总结我们治疗脊髓血管脂肪瘤（SAs）患者的经验，并评估与其预后相关的因素。
方法
我们回顾性分析了2001年1月至2013年2月期间接受手术治疗的确诊为SAs患者的病历。
结果
共描述了21例患者。我们将SAs分为两种类型：“脊髓内型”和“哑铃型”。前者进一步细分为“伴有脂肪过多症”和“不伴有脂肪过多症”。超重人群更易患“伴有脂肪过多症”类型，这需要不同的手术策略和/或饮食疗法以获得更好的治疗效果。
结论
SAs的诊断应参考临床、放射学和病理学检查结果。治疗SAs需要采用不同的方法。
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