颅骨海绵状血管瘤影像及病理分析
发布时间：2019-03-27 10:17
【摘要】：目的探讨颅骨海绵状血管瘤的影像、病理学特点及手术疗效,以提高对该病的诊治。方法回顾性分析10例经病理证实的颅骨海绵状血管瘤的临床及影像学资料及手术疗效,并复习文献。结果 8例位于额骨,顶骨及枕骨各1例,X线平片表现为边界清楚的类圆形低密度影。CT平扫表现为高密度或稍高密度,骨窗位常呈特征性的蜂窝状或日光放射状的溶骨性改变。MRI信号特点复杂,MRI平扫表现为高低信号混杂影为主,增强后不均匀强化。9例患者行病变扩大切除术加钛网修补术,1例行病变扩大切除术。肉眼见病变呈暗红色,突出颅骨表面;镜下见大量囊状扩张的壁薄血管,血管腔内被血细胞填充,组织分化成熟。随访3至24个月无复发。结论颅骨海绵状血管瘤影像学表现具有一定特征性,对于单发病灶,行扩大整块切除加一期颅骨缺损修补术治疗效果满意。
[Abstract]:Objective to investigate the imaging, pathological features and surgical effect of cavernous hemangioma of skull in order to improve the diagnosis and treatment of cavernous hemangioma of skull. Methods the clinical and imaging data and surgical results of 10 cases of cavernous hemangioma of the skull proved by pathology were retrospectively analyzed and the literature was reviewed. Results 8 cases were located in frontal bone, 1 case in parietal bone and 1 case in occipital bone. The bone window was usually characterized by honeycomb or radiate osteolytic changes. The signal characteristics of MRI were complex, the high and low signal was mainly mixed on plain MRI, and the enhancement was uneven after enhancement. 9 patients underwent extensive resection of lesions and titanium mesh repair, and 9 patients underwent extensive resection of lesions and titanium mesh repair, and 9 patients underwent extensive resection of lesions and titanium mesh repair. One case underwent extended resection of lesion. The lesions were dark red and protruding to the skull surface, and a large number of cystic dilated wall thin vessels were seen under microscope, filled with blood cells and differentiated into mature tissues. No recurrence was found after 3 to 24 months follow-up. Conclusion the imaging features of cavernous hemangioma of the skull are characteristic. For the single lesion, the treatment result is satisfactory by extended whole resection and one-stage skull defect repair. [WT5 "HZ] conclusion [WT5" BZ]
【作者单位】： 皖南医学院弋矶山医院神经外科;
【基金】：安徽高校自然科学研究项目(编号:KJ2015ZD40)
【分类号】：R739.91
[Abstract]:Objective to investigate the imaging, pathological features and surgical effect of cavernous hemangioma of skull in order to improve the diagnosis and treatment of cavernous hemangioma of skull. Methods the clinical and imaging data and surgical results of 10 cases of cavernous hemangioma of the skull proved by pathology were retrospectively analyzed and the literature was reviewed. Results 8 cases were located in frontal bone, 1 case in parietal bone and 1 case in occipital bone. The bone window was usually characterized by honeycomb or radiate osteolytic changes. The signal characteristics of MRI were complex, the high and low signal was mainly mixed on plain MRI, and the enhancement was uneven after enhancement. 9 patients underwent extensive resection of lesions and titanium mesh repair, and 9 patients underwent extensive resection of lesions and titanium mesh repair, and 9 patients underwent extensive resection of lesions and titanium mesh repair. One case underwent extended resection of lesion. The lesions were dark red and protruding to the skull surface, and a large number of cystic dilated wall thin vessels were seen under microscope, filled with blood cells and differentiated into mature tissues. No recurrence was found after 3 to 24 months follow-up. Conclusion the imaging features of cavernous hemangioma of the skull are characteristic. For the single lesion, the treatment result is satisfactory by extended whole resection and one-stage skull defect repair. [WT5 "HZ] conclusion [WT5" BZ]
【作者单位】： 皖南医学院弋矶山医院神经外科;
【基金】：安徽高校自然科学研究项目(编号:KJ2015ZD40)
【分类号】：R739.91
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