后颅窝占位病变合并梗阻性脑积水治疗体会

Posterior fossa lesions merger obstructive hydrocephalus reatment.

目的探讨后颅窝占位病变合并梗阻性脑积水进行幕上侧脑室钻孔引流和病灶切除分步进行的临床应用。方法回顾性分析16例后颅窝占位病变患者手术治疗的临床资料。结果采用幕上侧脑室钻孔引流及时减压,降低了枕骨大孔疝出现的风险,赢得手术时间;术中术野空间暴露良好。结论采用幕上侧脑室钻孔引流和病灶切除分步进行,降低脑疝出现,术中术野空间暴露良好,为处理后颅窝占位病变合并梗阻性脑积水首选术式。

Objective Discussion occupies the position pathological change merge obstruction hydrocephalus to after skull nest to carry in the curtain the ventrieuli laterals enciphali drill hole drainage and the focus of infection excises the clinical practice which the minute step carries on. Methods Review analysis 16 examples the skull nest occupies the position pathological change surgery to treat the clinical material. Results Uses on the curtain the ventriculi laterals enciphali drill hole drainage prompt reduced pressure, reduced the risk which foramen occipital magnum hernia appears,wins the sargery time;In the technique the technique wild space exposition is good. Conclusion Uses on the curtain the ventriculi laterals enciphali drill hole drainage and the focus of infection excises a minute step to carry on, reduces the brain hernia appearance, in the teehniqtle wild space exposition is good, after processes the skull nest to occupy the position pathological change merge obstruction hydrocephalus first choice technique type.