胸椎管血管脂肪瘤致不全瘫一例

Thoracicin Tra-Spinal Canal Epidural Angiolipoma with Paraplegia: 1 Case Report

摘要: 血管脂肪瘤是成熟的脂肪组织和异常增生的血管组成的一种常见的良性肿瘤，好发于躯干以及四肢的皮下组织，但椎管内的血管脂肪瘤较为罕见，国外有报道称血管脂肪瘤在椎管内肿瘤中所占比例为0.4%~1.2%，在椎管内硬膜外肿瘤中血管脂肪瘤所占比例为2%~3%。病史通常比较长，在临床上多表现为缓慢进展的肢体感觉或运动障碍。但当肿瘤血管急性破裂出血，病程进展可迅速加快。我科近期收治一例椎管内硬膜外血管脂肪瘤，现结合相关文献汇报如下。

Abstract: Angiolipoma is a common benign tumor of mature adipose tissue and abnormal proliferative vascular composition. It occurs in the subcutaneous tissue of the trunk and limbs, but the angiolipoma in the spinal canal is rare. Foreign reports say that angiolipoma accounts for 0.4% - 1.2% of intravertebral tumors and 2% - 3% of intravertebral epidural tumors. The history is usually long, and the clinical manifestations are slow progress of limb sensory or motor disorders. However, when the tumor blood vessel acute rupture bleeds, the course of disease can be rapidly accelerated. A case of intravertebral epidural angiolipoma was admitted in our department. This report is based on relevant literature.