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报告21例脑干占位性病变显微手术治疗的经验。其中脑干肿瘤12例,自发性脑干血肿8例,脑干空洞症1例。手术死亡1例,症状加重1例。脑干脑瘤肉眼切除1例,大部切除5例,部分切除2例,活检术4例。肿瘤性质:星形细胞瘤6例,室管膜瘤3例,桥脑胆脂瘤、神经鞘瘤和中脑血管脂肪瘤各1例。脑干血肿在显微镜下清除血肿,血肿壁上可疑部位行活检并采用激光或双极电凝凝固之。仅2例病理证实血管畸形。全组病人随访1个月～6年;能参加工作3例,生活自理8例,需要照料2例,死亡4例,失访4例。
Report of 21 cases of brain stem space - occupying lesions treated by microsurgery. Including brainstem tumors in 12 cases, 8 cases of spontaneous brain stem hematoma, 1 case of bradycardia. 1 case died of surgery, 1 case of aggravating symptoms. Macroscopic resection of brain stem tumor in 1 case, 5 cases of partial resection, partial resection in 2 cases, biopsy in 4 cases. Tumor characteristics: astrocytoma in 6 cases, 3 cases of ependymoma, pontine cholesteatoma, schwannoma, and cerebral vascular lipoma in 1 case. Brainstem hematoma under the microscope to remove the hematoma, suspicious area of the hematoma wall biopsy and the use of laser or bipolar coagulation solidification. Only 2 cases of pathology confirmed vascular malformations. The whole group of patients were followed up for 1 month to 6 years; 3 patients were able to participate in the work, 8 patients took care of themselves, 2 patients needed care, 4 died and 4 patients lost to follow-up.