摘要
目的探讨颅内海绵状血管瘤的临床表现、治疗及护理。方法对1993年～2006年我院收治的16例海绵状血管瘤进行回顾性分析。结果16例均行手术治疗,病理确诊为海绵状血管瘤。其中位于脑叶内7例,病灶均全切;位于脑干3例,2例全切,1例部分切除位于海绵窦内3例,2例部分切除,1例仅取活检,行栓塞术;位于颅底3例,2例全切,1例部分切除。术前头颅CT和MRI增强扫描提示肿瘤呈均一性显著强化,边缘清晰。其中13例行MRI检查,10例考虑为海绵状血管瘤;15例行CT检查,显示为占位性病变。手术无1例死亡,疗效较满意。结论手术是主要的治疗方法,术后严密监测意识变化及生命体征,有效预防脑血管痉挛是颅内海绵状血管瘤成功痊愈的重要保障。
Objective： To investigate the clinic, therapy and nursing of intraeranial cavemous hemagiomas. Mothods： The data from 16 patients with CCM surgically treated from 1993 through 2006 was nursed. Result：All of this 16 patients had been surgically treated, and CCM was confirmed by the pathology. The 7 lesions locating cerebral lobe were resected completely; 3 lesions located brain stem, 2 of those were resected completely, 1 of those were resected partially;3 lesions located in cavernous sinus, 2 of those were resected partially , 1 were only biopsied and embolizated; 3 lesions located the base of skull, 2 were resected completely and 1 were done partially. No one were mortal and the curative effect were satisfied. Conclusion： the surgery is the main treatment CCM. The the ischemia state and vital sign of the patient must be monitored closely after operation. The preventive measures against vascular spasm must be taken to avoid attack after operation and it＇ s the insurance of the successful operation.
出处
《激光杂志》
CAS
CSCD
北大核心
2009年第5期79-79,共1页
Laser Journal
关键词
颅内海绵状血管瘤
治疗
护理
intracranial cavemous hemagiomas
treatment
nursing
