【摘要】 目的　探讨血管母细胞瘤的诊断和治疗。方法　回顾性分析经神经外科手术和病理证实的 44例资料。结果　 41例获术前确诊。肿瘤全切 3 7例 ,手术死亡 4例。结论　实质性血管母细胞瘤仍是神经外科较难处理的肿瘤 ,忌作活检和分块切除 ,应在离断供血动脉后切除肿瘤。CT和MRI是术前诊断血管母细胞瘤的主要方法 ,术中应用特殊的显微外科技术可提高手术疗效更多还原

【Abstract】 Objective To investigate the diagnosis and treatment of posterior fossa hemangioblastoma.Methods The data of 44 cases with posterior fossa hemangioblastoma verified by surgery and pathology were analyzed retrospectively.Results Preoperative definite diagnosis cases were 41.Total tumor removal was achieved in 37 cases. Four cases died of the operation.Conclusions Posterior fossa solid hemangioblastoma are still challenging neoplasmas.For this kind of tumor,biopsy and partial removal are forbidden,and this tumor is removed after devascularity of supply blood artery.CT and MRI are major preoperatively diagnosis method for posterior fossa hemangioblastoma. The application of special microsurgical technique can improve surgical efficacy.更多还原