朋友得了颅内海绵状血管瘤 得了脑内海绵状血管瘤怎么办
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2 Porter PJ\uff0cwillinsky RA\uff0cHarperw\uff0cet al.cerebral cavernows malforma\u02c9tions:1997\uff0c87:190.
3 Steinberg GK\uff0cMarks MP.Interacranial arteriovenous malformations:Therapeutic options:In:Batjtr HH.ed.Cerebrovasculan Disease Philadecphia:Loppincott-Raven.1996\uff0c727-742.
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以往对海绵状血管瘤的治疗，因术中出血凶猛，手术死亡率高，文献报道〔4，6〕死亡率可达36%。但随着显微神经外科的发展，对该肿瘤的全切和近全切率明显提高，且对海绵窦内神经的保护也有明显提高。
海绵状脑血管瘤是指由众多薄壁血管组成的海绵状异常血管团，即畸形血管团，病灶常位于硬脑膜外中颅窝底，以40-50岁成人多见，女性发病多于男性。海绵状脑血管瘤临床表现：常有自发性反复出血倾向，瘤体较大者可有占位效应。因病灶侵犯部位不同临床表现亦有所不同，颅内海绵状血管瘤常表现为自发性出血，头痛、昏迷、偏瘫，部分病人可有癫痫，病灶较大者可有头痛、恶心、呕吐等颅压增高症状。
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绛旓細鐜板湪寰堝鍦版柟閮芥湁涓撻棬娌荤枟琛绠＄槫鐨勪笓闂ㄧ殑鍖婚櫌锛屼竴鑸槸涓嶉噰鐢ㄦ墜鏈锛屾墜鏈槸浼犵粺娌荤枟鏂规硶锛屼笉鏄撶棅鎰堬紝瀵规偅鑰呬激瀹冲緢澶э紝鎵嬫湳鍚庝細鍑虹幇鍚勭骞跺彂鐥囷紝璁╁鎮ｈ呰韩浣撴槸鏈夊緢澶х▼搴︾殑浼ゅ鐨勶紝鑰屼笖瀹规槗鐣欑枻鍜屽鍙戙傚洜涓鸿绠＄槫鐨勮娴侀噺瀛樺湪宸紓锛屼笉鑳介噰鍙栧崟涓鐨勬不鐤楁柟娉曪紝寤鸿閲囩敤澶氱寰垱鑱斿悎锛屽惛鍙栧悇鑷紭鐐癸紝杩滄湡鐤楁晥鏇翠匠...
绛旓細澶寸棝銆傚ご鐥涙槸鑴戝姩鑴夌槫鎮ｈ呭嚭鐜版渶涓哄箍娉涚殑鏃╂湡鐥囩姸锛岀害鏈90%鐨勮剳鑲跨槫鎮ｈ呬細鍑虹幇銆瑙嗚闅滅銆傝绠＄槫寮曡捣鐨勯鍐呭帇鍗囬珮锛屼細褰卞搷鐪肩悆鐨勮娑插惊鐜紝鎹熶激鐪肩潧鐨勮瑙夌粏鑳烇紝褰卞搷瑙嗗姏锛岀敋鑷冲彲鑳藉け鏄庛傛伓蹇冦佸憰鍚愩傛伓蹇冦佸憰鍚愭槸涓嶅皯鎮ｈ呯殑棣栧彂鐥囩姸锛屼粬浠湪鍑虹幇姝ょ棁鐘舵椂澶氫即鏈夊ご鐥涖佸ご鏄忋傝繍鍔ㄩ殰纰嶃傝蛋璺笉绋炽佷竴渚ф棤鍔涗細...
绛旓細娴风坏鐘惰绠＄槫(cavernous angiomas, CA)浠ュ線瀵规捣缁电姸琛绠＄槫鐨勬不鐤楋紝鍥犳湳涓嚭琛鍑剁寷锛屾墜鏈浜＄巼楂橈紝鏂囩尞鎶ラ亾銆4锛6銆曟浜＄巼鍙揪36%銆備絾闅忕潃鏄惧井绁炵粡澶栫鐨勫彂灞曪紝瀵硅鑲跨槫鐨勫叏鍒囧拰杩戝叏鍒囩巼鏄庢樉鎻愰珮锛屼笖瀵规捣缁电鍐呯缁忕殑淇濇姢涔熸湁鏄庢樉鎻愰珮銆
绛旓細鐢变簬鎬瀛曡兘澧炲姞鐥呯伓鍑鸿鍙兘锛屾晠瀵瑰噯澶囧濞犺屽鏄庣‘鏈娴风坏鐘惰绠＄槫鐨勫濂冲簲寤鸿鍏堟墜鏈垏闄ゆ捣缁电姸琛绠＄槫锛岃屽鎬瀛曟湡闂磋瘖鏂负娴风坏鐘惰绠＄槫闄ら潪鍙嶅鍑鸿鎴栫缁忓姛鑳界棁鐘惰繘琛屾у姞閲嶈呬竴鑸缓璁厛琛屼繚瀹堟不鐤椼傚効绔ユ偅鑰呯敱浜庣梾鐏跺嚭琛鍙兘澶т互鍙婃綔鍦ㄧ櫕鐥彲鑳斤紝鏄墜鏈殑寮虹儓鎸囧緛銆傛墜鏈不鐤楃殑鐩殑鏄叏鍒囬櫎鐥呭彉锛屾秷闄ょ梾鐏跺嚭琛...
绛旓細涓嶢VM鍑鸿涓嶅悓锛娴风坏鐘惰绠＄槫鐨勫嚭琛涓鑸彂鐢熷湪鐥呯伓鍛ㄥ洿鑴戠粍缁囧唴锛岃緝灏戣繘鍏ヨ洓缃戣啘涓嬭厰鎴栬剳瀹ゃ傛捣缁电姸琛绠＄槫鍑鸿棰勫悗杈傾VM濂斤紝浣嗛娆″嚭琛鍚庡啀娆″嚭琛鐨勫彲鑳芥у鍔犮傚コ鎬х梾浜猴紝灏ゅ叾鏄瀛曠殑濂虫ф捣缁电姸琛绠＄槫鎮ｈ呯殑鍑鸿鐜囪緝楂樸傚弽澶嶅嚭琛鍙紩璧风梾鐏跺澶у苟鍔犻噸灞閮ㄧ缁忓姛鑳界己澶便4.灞閮ㄧ缁忓姛鑳界己澶 鍗15....
绛旓細鍥炵瓟锛氫綘濂 杩欑鐥呮渶濂芥槸鍙婃棭鍋氭墜鏈不鎰堢殑甯屾湜瓒婂ぇ銆傚鏋滅瓑鍒鐦や綋寰堝ぇ鎴栬呮墿鏁ｇ殑鏃跺欏氨宸茬粡杩樹笉鎬ユ不鐤椾簡銆棰呭唴琛绠＄槫鐨勬不鐤楀彲鍒嗕负鎵嬫湳娌荤枟銆佹斁灏勭嚎娌荤枟浠ュ強鍖栧娌荤枟鍜岀敓鐗╂不鐤椼傛墜鏈:瀵逛簬鍘熷彂鎬ц偪鐦,浜堜互澶栫鎵嬫湳鍒囬櫎,灏藉彲鑳藉皢鑲跨槫缁嗚優绉婚櫎骞插噣,閬垮厤缁嗚優澧炵敓浠嶆槸鏈鏅亶鐨勬不鐤楁ā寮忋 绁濅綘鍋ュ悍
绛旓細鑴戦儴琛绠＄槫鍙兘鏄厛澶╁洜绱犲拰杩欏姩鑴夌‖鍖栧紩璧风殑锛岃繕鏈夊彲鑳芥槸鎰熸煋鎴栬呭彈鍒板浼ゆ墍鑷达紝鐮磋涔嬪墠澶у鏁版病鏈夋槑鏄剧棁鐘讹紝鍙兘鍦ㄤ綋妫鐨勬椂鍊欏彂鐜板鏋滆绠″法澶т細鍘嬭揩鍒板懆杈圭粍缁囷紝鍑虹幇鐪肩潙涓嬪瀭鎴栬呰鍔涘噺閫銆傝剳閮ㄨ绠＄槫鍙戠敓鐮磋锛岃〃鐜颁负鍓х儓鐤肩棝鎴栬呭憰鍚愶紝杩樹細浼存湁鎰忚瘑闅滅銆傝剳閮ㄨ绠＄槫鍙互閫氳繃鑴戣绠＄槫鍋囧鏈垨鑰呰绠＄槫浠嬪叆鏍撳...
