[1]邬迎喜　贺世明　赵兰夫　张玉富　吕文海.血管内栓塞联合显微手术治疗中枢神经系统血管周细胞瘤[J].中国临床神经外科杂志,2015,(03):137-139.[doi:10.13798/j.issn.1009-153X.2015.03.003]
　WU Ying-xi,HE Shi-ming,ZHAO Lan-fu,et al.Microsurgical treatment of hemangiopericytomas in the central nervous system after the embolization of the arteries supplying blood for them[J].,2015,(03):137-139.[doi:10.13798/j.issn.1009-153X.2015.03.003]
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血管内栓塞联合显微手术治疗中枢神经系统血管周细胞瘤()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年03期
页码:
137-139
栏目:
论著
出版日期:
2015-03-30

文章信息/Info

Title:
Microsurgical treatment of hemangiopericytomas in the central nervous system after the embolization of the arteries supplying blood for them
文章编号:
1009-153X（2015）03-0137-03
作者:
邬迎喜　贺世明　赵兰夫　张玉富　吕文海
710038 西安，第四军医大学唐都医院神经外科
通讯作者：贺世明，E-mail：hshimin@fmmu.edu.cn
Author(s):
WU Ying-xi;  HE Shi-ming;  ZHAO Lan-fu;  ZHANG Yu-fu;  Lü Wen-hai.
Department of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi’an 710000, China
关键词:
中枢神经系统血管周细胞瘤; 血管内栓塞; 显微手术; 临床效果
Keywords:
Central nervous system;  Hemanyiopericytomas;  Embolization;  Microsurgery;  Recurrence
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2015.03.003
文献标志码:
A
摘要:
目的 探讨中枢神经系统血管周细胞瘤（CNS-HPC）的治疗方法及临床效果。方法 回顾性分析2010年1月至2013年10月收治的4例CNS-HPC患者的临床资料，4例患者术前均行全脑血管造影术确定肿瘤主要供血动脉，然后将肿瘤供血动脉栓塞，最后在显微镜下切除肿瘤。结果 肿瘤全切除3例，次全切除1例。术中出血量为1 500~3 000 ml。4例患者术后均无明显并发症发生。术后2例患者行伽玛刀治疗，2例患者行外放射治疗。随访6~41个月均未见肿瘤复发和转移。结论 对于巨大的、供血极其丰富的CNS-HPC术前行供血动脉栓塞可以明显减少术中出血，提高肿瘤全切率。全切除肿瘤并辅以放疗是CNS-HPC的主要治疗方案，术后随访观察肿瘤复发及转移非常必要。
Abstract:
Objective To explore the diagnosis, differential diagnosis and treatment of hemangiopericytomas (HPCs) in the central nervous system (CNS). Methods The clinical data of 4 patients with CNS HPCs, who underwent microsurgery after the embolization of the arteries supplying blood for HPCs from January, 2010 to October, 2013, were analyzed retrospectively, including imaging, operative and following-up data and so on. Results Of 4 patients, 3 received the total resection of HPCs and 1 subtotal. All the patients received adjuvant external beam radiotherapy or gamma knife radiosurgery after the operation. There were no recurrence and metastasis of HPCs during the following-up. Conclusions The intraoperative bleeding may be decreased and the rate of total resection of giant CNS HPCs may be increased by the preoperative embolization of the arteries supplying blood for HPCs. The total resection combined with postoperative radiotherapy is the best method to treat CNS HPCs. The postoperative following-up should be performed for the observation of recurrence and metastasis of the tumors in the patients with CNS HPCs.

参考文献/References:

[1] Alen JF, Lobato RD, Gomez PA, et al. Intracranial heman- giopericytoma: study of 12 cases [J]. Acta Neurochir (Wien), 2001, 143: 575-586.
[2] Schiariti M, Goetz P, El-Maghraby H, et al. Hemangioperi- cytoma: long-term outcome revisited [J]. J Neurosurg, 2011, 114: 747-755.
[3] 夏　东，陈燕萍，唐姗姗. 中枢神经系统血管周细胞瘤的 MRI 诊断[J]. 放射学实践，2010，25（12）：1327-1330.
[4] 潘　锋，顾晓丽，祝跃明. 颅内血管外皮细胞瘤与脑膜瘤 的CT、MRI鉴别诊断[J]. 中华神经外科杂志，2013，29 （1）：54-57.
[5] Rutkowski MJ, Sughrue ME, Kane AJ, et al. Predictors of mortality following treatment of intracranial hemangioperzi- cytoma [J]. J Neurosurg, 2010, 113: 333-339.
[6] Kim JW, Kim DG, Chung HT, et al. Gamma knife stereo- tactic radiosurgery for intracranial hemangiopericytomas [J]. J Neurooncol, 2010, 99: 115-122.
[7] Fountas KN, Kapsalaki E, Kassam M, et al. Management of intracranial meningeal hemangiopericytomas: ontcome and experience [J]. Neurosurg Rev, 2006, 29: 145-153.
[8] Ecker RD, Marsh WR, Pollock BE, et al. Hemangiopericy- toma in the central nervous system: treatment, pathological features, and long-term follow up in 38 patients [J]. J Neu- rosurg, 2003, 98, 1182-1187.

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更新日期/Last Update: 2015-03-30