【摘要】 目的:探讨脑干占位性病变的手术适应证、手术入路及显微手术技巧。方法:对15例脑干占位性病变,根据本组病例所在脑干的不同部位,选择相应的手术入路进行显微切除。结果:本组病例中,脑干肿瘤10例,其中胶质瘤6例,血管母细胞瘤2例,畸胎瘤1例,神经纤维瘤1例(神经纤维瘤病);血管畸形2例;高血压脑出血3例。术后1周内症状明显好转9例,症状与术前相仿2例,症状较前加重4例,其中3例死亡。术后随访6～27个月,除2例胶质瘤患者在术后7个月和10个月期间因肿瘤复发死亡外,其余均能生活自理,从事一定活动。结论:对脑干的一些外生型肿瘤或表浅的局限性病变,可应用显微手术切除病灶,此方法有明显临床疗效。更多还原

【Abstract】 Objective: To investigate the surgery indication, operative approach and microsurgical technique of removal of space-taking mass(STM) in brain stem. Methods: Appropriate operative approaches were chosen to resect STM microsurgically in 15 cases based on the positions of STM in brain stem. Results: Nine cases of all the patients improved in symptom significantly one week after operation, 2 cases improved no more than preoperation, 4 cases took a turn for the worse and three of them died later. Except 2 patients with gliocytoma died 7 months and 10 months respectively after operation. And all the other patients could take care of themselves and join in some activities during the follow-up period of 6 months to 27 months. Conclusion: Microsurgery can be adopted to resect the space-taking mass in brain stem such as exogenous tumors or superficial local focus, and effective results may be obtained.更多还原