【摘要】 目的探讨海绵状血管瘤的临床特点与有效治疗方案。方法回顾并分析该科2000年3月～2006年3月的海绵状血管瘤病例102例,并复习相关文献。结果45例患者接受非手术治疗。其中,29例患者先后在6年内因原有症状加重或出现新的症状而手术。16患者仍继续非手术治疗,近期随访14例,1例随访发现病灶增大,2例出现癫痫,2例出现神经功能障碍。57例患者直接接受手术治疗,加上中转手术患者共计86例行显微手术切除病灶,手术无死亡,随访66例患者中,1例肌力无恢复,1例面瘫未改善,2例癫痫无明显减少,余疗效满意。结论海绵状血管瘤药物治疗效果不稳定,副作用大;显微手术治疗疗效明确,术中皮层脑电图监测可提高手术疗效。更多还原

【Abstract】 Objective To investigate the clinical characteristics and the effective treatments of cavernous angiomas. Methods Total 102 cases were analyzed retrospectively from March 2000 to March 2006,and a review of relevant literature was conducted. Results 45 patients did not receive microsurgical treatment,while 29 of them received microsurgical treatment due to the aggravation of symptoms or occurrence of new symptom in 6 years. The rest of 16 patients continued. 14 patients of them were followed up recently,and the seize of one patients′ focuses swelled,and two patients were attacked by epilepsy and two were attacked by neurologic impairment. Total 86 patients received microsurgical treatment. 66 patients of them were followed up,one patient′s muscle power,one patient facial palsy did not recovered. Two patients′ epilepsy could not be controlled by drugs,and the curative effect of the rest was satisfactory. Conclusion The curative effect of drug treatment for cavernous angiomas is not stable,while the effect of microsurgical treatment is obvious. Electrocorticography (ECoG)monitoring during operation is helpful to control the postoperative epileptic seizure.更多还原