摘要
经显微手术处理的难治性脑瘤８６例，其中脑干肿瘤１７例，海绵窦（ＣＳ）肿瘤７例，斜坡脑膜瘤１２例，丘脑肿瘤１４例，松果体区肿瘤１２例，巨型（直径）＞４ｃｍ）听神经瘤２１例，枕大孔区肿瘤３例。肿瘤全切和近全切除６９例，大部和部分切除１７例，死亡１例。难治性脑瘤一旦确诊，应尽早手术治疗。手术应根据肿瘤的具体部位、大小及其扩展的范围而选择适当的入路，力求显露充分，应用显微外科技术，尽可能多地摘除肿瘤，乃至于全切除。以便提高术后疗效和生存质量。
In this paper,86 cases of refractory cerebroma are reported,17 cases of brain stem tumors,6 cases of cavenous sinus tumors,12 cases of clivus meningiomas,14 cases of thalamus tumors,12 cases pineal region tumors,21 cases of huge acotistic neuroma(diameter>4cm),and 3 cases of foramen magnum region tumors.The author disctisses the feature of this kind of tumors.Once the diagnosis was achieved,the operation should be performed as soon as possible.The author also emphasizes that proper approach should be adopted according to the tumor site, size and extending limits,so as to get full exposure of tumor.The operation should be performed gently and accurately under fine illumination by using microsurgical technique,enabling the tumor to be excised to the maximum,in the meanwhile,protecting the brain tissue blood vessels and intracranial nerves,so as to improve the survival quality and curative effects.
