摘要
报告21例脑干占位性病变显微手术治疗的经验。其中脑干肿瘤12例,自发性脑干血肿8例,脑干空洞症1例。手术死亡1例,症状加重1例。脑干脑瘤肉眼切除1例,大部切除5例,部分切除2例,活检术4例。肿瘤性质:星形细胞瘤6例,室管膜瘤3例,桥脑胆脂瘤、神经鞘瘤和中脑血管脂肪瘤各1例。脑干血肿在显微镜下清除血肿,血肿壁上可疑部位行活检并采用激光或双极电凝凝固之。仅2例病理证实血管畸形。全组病人随访1个月～6年;能参加工作3例,生活自理8例,需要照料2例,死亡4例,失访4例。
This is a report on our experience in the application of microsurgery technique for treatment of brainstem space-occupying lesions in 21 cases (including tumors 12 cases,spontaneous brainstem hematomas 8 cases and syringobulbia,1 case).All cases had been improved after the operation except 2 cases (one died).In the tumor group,total removal in one case,subtotal in 5 cases and partial in 2 cases,biopsy having been carried out in 4 cases.Histopathology showed astrocytoma in 6 cases,ependymoma in 3 cases,pontine cholestearoma,heman-giolipoma and neuroma in each case.Neurosurgery was done for brainstem hematoma,using laser and bipolar electric coagulation,the suspicious hematoma wall was examined by biopsy.All the patients in this study were followed up from; one month to six years postoperatively; three were able to work normally eight,could provide for themselves and two cases could not,four died and four lost in contact.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
1991年第5期276-278,共3页
Chinese Journal of Nervous and Mental Diseases
