摘要
目的脑干及毗邻部位肿瘤进行根治性切除有时十分困难 ,据MRI检查所见肿瘤位置和生长方式选择相应手术入路 ,注重术中操作及术后管理 ,使这些肿瘤切除成为可能并可降低死亡率。方法所有此类患者均作CT、MRI,必要时做DSA。我科对11例脑干及毗邻部位肿瘤患者根据肿瘤不同位置和生长方式 ,选择了手术入路、手术方式和术后治疗。结果显微镜下全切除4例 ,次全切除3例 ,肉眼下全切除2例 ,大部切除2例 ,术后需要用呼吸机5例 ,无手术死亡。结论严格地选择手术入路是切除肿瘤的关键 ,其优点是显露满意 ,可尽量减少牵拉周围脑组织 ,直视下操作避免损伤正常组织 ,减少并发症 ,术后呼吸机的合理应用可直接减少死亡率。
Objective To explore the operative approaches for the removal of the tumors adjacent to the brain stem. Methods 11 brain tumors were analyzed retrospectively (from 1998.2 to 1999.5) so as to find out the best operative procedures. Results 4 cases were totally removed under the microscope,3 cases were subtotally resected, 2 cases were resected under naked eyes and 2 cases were macro-resected. 5 cases received respirator help after the operation without any death. Conclusion Proper operative procedure was an effective way to the removal of the tumors adjacent to the brain stem.
出处
《浙江临床医学》
2000年第9期582-583,共2页
Zhejiang Clinical Medical Journal
关键词
显微外科
手术入路
脑肿瘤
治疗
Tumors adjacent to the brain stem Microsurgery Operation approa(
