摘要
背景和目的：目前海绵状血管瘤以手术切除为主，脑干海绵状血管瘤由于位于生命的中枢，手术治疗风险和难度较高。本文探讨显微手术切除脑干海绵状血管瘤的可行性及预后。方法：对2002年12月至2011年6期间收治的12例行显微手术治疗的脑干海绵状血管瘤患者的临床资料及手术效果进行分析，肿瘤位于中脑2例，中脑脑桥交界8例，延髓2例。结果：10例全切除，2例次全切除，病理结果均证实为海绵状血管瘤，随访6～24个月，未见肿瘤再出血，早期神经功能改善6例，4例同手术前，加重2例。结论：严格掌握手术指征，对有手术指征的脑于海绵状血管瘤，积极的显微外科手术治疗可获得满意的治疗效果。
BACKGROUND ＆ OBJECTIVE： Neurosurgieal removal is the major treatment for brainstem cavernomas. In this study, we explored the feasibility and prognosis of the microsurgery for the brainstem eavemomas. METHODS： The clinical data and operation results of 12 patients with brainstem eavemomas treated mierosurgically were analyzed. RESULTS： Of 12 cases of brainstem cavernomas, 2 cases were located in the midbrain, 8 cases in the midbrain and pontes, and 2 cases in the medullae oblongata. Total removal was achieved in 10 patients and subtotal removal in 2 patients. All samples were proved by pathologic diagnosis. Follow-up was performed after surgery, the postoperative neurological function improved in 6 cases, no change in 4 cases, and worse in 2 cases. CONCLUSION： Satisfactory outcome of microsurgery for brainstem eavernoma can be obtained if the surgical indication is chosen appropriately.
出处
《中国神经肿瘤杂志》
2012年第3期169-172,共4页
Chinese Journal of Neuro-Oncology
