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目的 探讨颅内海绵状血管瘤立体定向显微外科手术或立体定向闭合性手术 (旋转式伽玛刀手术 )治疗方法。方法 对 17例经立体定向显微外科手术治疗 ,11例经立体定向闭合性手术 (旋转式伽玛刀手术 )治疗的病例进行临床资料回顾性分析。结果 17例立体定向显微外科手术治疗病例 ,经 3个月～ 5 .2年随访 ,12例痊愈 ,2例好转 ,2例病情恶化自动出院 ;其中偏瘫 1例 ,浅昏迷 1例 ,植物人 1例。 11例立体定向闭合性手术 (旋转式伽玛刀手术 )治疗的病例 ,经 2个月～ 2 .1年随访 ,病灶缩小 2例 ,不变 8例 ,症状改善 9例 ,术后反应性脑水肿 3例。结论 颅内海绵状血管瘤因部位不同 ,发病类型不同 ,应选择相应的手术治疗方法 ,方能求得良好的治疗效果。
Objective To investigate the treatment of intracranial cavernous hemangiomas by stereotactic microsurgery or stereotactic closed surgery (rotary gamma knife surgery). Methods The clinical data of 17 cases treated by stereotactic microsurgery and 11 cases treated by stereotactic closed surgery (rotary gamma knife surgery) were retrospectively analyzed. Results 17 cases were treated with stereotactic microsurgery. After 3 months to 5.2 years of follow-up, 12 cases were cured, 2 cases improved and 2 cases were exacerbated automatically. Among them, 1 case was hemiplegia, 1 case was shallow coma, 1 case was vegetative example. Eleven patients underwent stereotactic closed surgery (rotary gamma knife surgery) were followed up for 2 months to 2.1 years. The lesions were reduced in 2 cases, unchanged in 8 cases, with symptoms improved in 9 cases and postoperative reactive brain Edema in 3 cases. Conclusions Cavernous hemangioma due to different parts, the incidence of different types, the corresponding surgical treatment should be selected in order to obtain good therapeutic effect.