脑干肿瘤的显微手术治疗

Microsurgical management of brainstem tumor

目的探讨脑干肿瘤的外科治疗方法及其注意事项。方法37例脑干肿瘤依据MRI选择不同入路行显微手术治疗,术后给予呼吸、循环支持及对症处理。结果2肿瘤全切除17例,次全切除10例,大部切除6例,部分切除4例;术后并发呼吸功能障碍6例,合并循环功能障碍3例,后组颅神经麻痹7例,肢体肌力减弱9例,无病例死亡。结论术前MRI检查和显微手术技巧是脑干肿瘤手术治疗取得良好效果的关键,术后监护和并发症的处理可增加手术安全性。

Objective To investigate the surgical treatment of brainstem tumors. Methods According to the imaging oi MRI, different approaches of microsurgical removal were selected in 37 brainstem tumors patients. Results Tumors were totally resected in 17 cases, subtotally resected in 10 cases, largely removed in 6 cases and partially removed in 4 cases. Postoperative complications were respiration dysfunction in 6 cases, in which 3 cases got circulation dysfunction, attenuation of posterior cranial nerves in 7 cases and attenuation of myodynamia in 9 cases. No patient died. Conclusion Preoperative MRI and surgical technique are the key guarantee of good effects in management of brain stem tumors, and postoperative monitoring and management of complications can increase the safety of microsurgery