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目的探讨脑干肿瘤的外科治疗方法及其注意事项。方法48例脑干肿瘤依据MRI选择不同入路行显微手术治疗,术后给予呼吸、循环功能的对症处理。结果肿瘤全切除25例,次全切除10例,大部切除8例,部分切除5例;术后并发呼吸功能障碍10例,循环功能障碍4例,咳嗽反射减弱和上消化道出血各5例,肌力减弱9例;术后随访35例,神经系统功能明显好转29例。结论术前MRI检查和一定的手术技巧是脑干肿瘤手术治疗取得良好效果的关键,术后监护和并发症的处理可增加手术安全性。
Objective To investigate the surgical treatment of brain stem tumors and its precautions. Methods Forty-eight cases of brain stem tumors were treated with microsurgery according to the different approaches of MRI. After symptomatic treatment of respiration and circulatory function were given. Results Total tumor resection in 25 cases, subtotal resection in 10 cases, partial resection in 8 cases, partial resection in 5 cases; postoperative respiratory dysfunction in 10 cases, circulatory dysfunction in 4 cases, decreased cough reflex and upper gastrointestinal bleeding in 5 cases , Muscle weakness in 9 cases; 35 cases were followed up, the nervous system function improved significantly in 29 cases. Conclusion Preoperative MRI and certain surgical techniques are the key to good surgical treatment of brain stem tumors. Postoperative monitoring and complications can increase the safety of the operation.