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本文报道显微手术治疗23例实体性脑干肿瘤:肿瘤全切除13例,次全切除8例,大部切除2例。出院时,神经系统功能好转者18例(78.3%).不变2例.加重2例。死亡1例。随访结果也表明效果良好,好转率为77.8%(14/18)。显示了显微手术的优越性;认为对脑干肿瘤应采取积极的态度,即原则上应争取手术治疗;描述了不同手术入路和显微手术方法:阐述了术后监护和并发症(特别是呼吸功能障碍)处理的重要性。
This article reports microsurgical treatment of 23 cases of solid brain stem tumors: tumor resection in 13 cases, subtotal resection in 8 cases, most of the resection in 2 cases. At discharge, nervous system function improved in 18 cases (78.3%). Unchanged in 2 cases. Increased in 2 cases. 1 case of death. The follow-up results also showed good results, the improvement rate was 77.8% (14/18). Shows the superiority of microsurgery; that the brain stem tumors should take a positive attitude, that surgery should strive for in principle; describes the different surgical approaches and microsurgery methods: postoperative care and complications described (in particular Is respiratory dysfunction) the importance of treatment.