通过组合疗法管理侵袭性脊椎血管瘤:一个病例报告和文献综述
Zetao Jia1, Jianhu Zheng2, Xu Zhong3
1Rugao Hospital of Traditional Chinese Medicine, Nantong, China.
Frontiers in oncology
|November 7, 2025
概括
侵略性脊椎血管瘤 (AVH) 可能导致脊髓压缩. 栓塞,脊椎造形术和细叶切除术的联合治疗为AVH提供了量身定制,有效的治疗方法,改善了患者的治疗结果.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 脊椎血管瘤 (VH) 是常见的良性脊柱瘤,通常是无症状的.
- 症状病例很少见 (0.9%-1.2%),具有攻击性的脊椎血管瘤 (AVH) 占症状VHs的45%.
- AVH可以侵入脊柱,导致带压缩和神经缺陷,需要治疗.
研究的目的:
- 为了呈现一个有脊髓压缩的AVH病例.
- 在身体状况不佳的患者中评估针对AVH的量身定制的组合治疗方法.
- 突出结合栓塞,脊椎造形术和乳膜切除术对AVH的疗效.
主要方法:
- 患者接受了手术前的动脉栓塞.
- 进行了手术内脊椎造形术和全额拉美切除术,并进行了脊柱管道减压.
- 根据患者的身体状况不佳,治疗是个性化的.
主要成果:
- 组合疗法在12个月的随访中产生了令人满意的临床结果.
- 这种方法有效地解决了由AVH引起的脊髓压缩.
- 结合手术的协同效益增强了治疗效果,降低了风险.
结论:
- 针对患者特征量身定制的AVH组合疗法可以获得更好的结果.
- 这种多模式的方法,包括栓塞,脊椎造形术和细叶切除术,是AVH治疗的可行选择.
- 个性化组合疗法需要更广泛的临床采用,特别是在老龄化人口中.
更多相关视频
08:26A Comprehensive Procedure to Evaluate the In Vitro Performance of the Putative Hemangioblastoma Neovascularization Using the Spheroid Sprouting Assay
Published on: April 12, 2018
8.5K
05:30Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
472
相关概念视频
Esophageal Varices-II: Clinical Features and Management
355
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
355
Aneurysm III: Interprofessional Care
249
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
249
Varicose Veins II: Diagnostic Studies and Interprofessional Care
176
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
176
