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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,对有手术指征的脑干海绵状血管瘤,积极的显微外科手术治疗可获得满意的治疗效果。
BACKGROUND & OBJECTIVE: At present, cavernous hemangiomas are mainly treated by surgical resection. Cavernous hemangiomas of the brain stem are at the center of life and have a high risk and difficulty of surgical treatment. This article discusses the feasibility and prognosis of microsurgical removal of brain stem cavernous hemangiomas. Methods: The clinical data and surgical results of 12 cases of brain stem cavernous hemangioma treated by microsurgery between December 2002 and June 2011 were analyzed. The tumor was located in 2 of midbrain, 8 of midbrain pons For example, 2 cases of medulla oblongata. Results: 10 cases of total resection and 2 cases of subtotal resection showed pathological findings of cavernous hemangioma. All patients were followed up for 6-24 months. No tumor rebleeding, early neurological function improvement in 6 cases, 4 cases with preoperative and exacerbation 2 cases. Conclusion: Strict control of surgical indications for surgical indications of the cavernous hemangiomas, positive microsurgery can obtain satisfactory results.