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我院1992年元月至1996年12月共收治脑干肿瘤35例,33例施行显微外科手术,其中位于桥脑13例,延髓11例,桥、延脑交界处9例。方法:均经头颅CT、MRI扫描确诊后施行显微手术,镜下全切除14例,次全切除12例,部分切除7例。结果:临床痊愈16例,好转14例,死亡3例。7例部分切除者5例术后半年至2年肿瘤复发死亡。结论:脑干既往视为“禁区”,随着CT、MRI临床应用,器械改进及显微外科技术的提高,有条件的单位施行脑干肿瘤切除是可行的。
Our hospital from January 1992 to December 1996 a total of 35 cases of brain stem tumors were admitted, 33 cases were performed microsurgery, including 13 cases in the pontine, medulla oblongata in 11 cases, 9 cases of bridge, the junction of the brain. Methods: All patients underwent microsurgical diagnosis after head CT scan and MRI scan. Total 14 cases underwent microsurgical resection, 12 cases underwent subtotal resection and 7 cases underwent partial resection. Results: 16 cases were cured, 14 cases improved and 3 cases died. Five of seven resected patients died of tumor recurrence six months to two years after operation. Conclusion: The brainstem is considered as a “closed area” in the past. With the clinical application of CT and MRI, the improvement of instruments and the improvement of microsurgical techniques, it is feasible to use conditional units to perform brain stem tumor resection.