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目的：总结15例脑干肿瘤进行16次显微手术的经验。方法：根据肿瘤生长部位及方向不同选择不同的入路。肿瘤位于延脑突向IV脑室取后颅窝枕下中线开颅，切开小脑蚓部：突向桥小脑角者选择单侧乳突后入路，切除部分小脑。手术在显微镜下直视瘤内分小块切除。结果：10例获得较好的疗效。随访5个月至2年半。3例恢复工作、学习．3例生活自理，4例需人照料。恢复过程良好。结论：选择手术入路是成功的关键．MRI是脑干肿瘤首选的检查方法。术后并发症防治至关重要。
Objective: To summarize the experience of 16 microsurgical operations in 15 cases of brain stem tumors. Methods: According to different parts of the tumor growth and choose a different approach. The tumor is located in the brain to the brain in the brain to the posterior fossa cranial suboccipital midline craniotomy, cut cerebellar vermis: cerebellopontine angle to select those who choose unilateral mastoid posterior approach, removal of part of the cerebellum. Surgery in the microscope under the microscope, small subtotal resection. Results: 10 cases achieved better curative effect. Followed up for 5 months to 2 years and a half. 3 cases to resume work and study. 3 cases of self-care, 4 cases need care. Recovery process is good. Conclusion: Choosing a surgical approach is the key to success. MRI is the preferred method of detection of brain stem tumors. Postoperative complications prevention and treatment is essential.