桥脑实质内海绵状血管瘤的显微外科治疗

Microsurgical Management of Pons Hepatis Cavernous Malformations

目的:结合文献分析桥脑实质内海绵状血管瘤的显微外科治疗方法和预后。方法:枕下正中经四脑室底入路显微手术切除桥脑背侧海绵状血管瘤1例。结果:病灶镜下全切除,病理证实为海绵状血管瘤,术后患者症状明显改善,无明显并发症。结论:在恰当的选取手术入路、熟练掌握局部神经解剖、熟练的掌握镜下显微操作的前提下,桥脑海绵状血管瘤的显微外科治疗效果良好。

Objective： To investigate the microsurgical management of pons hepatis cavernous malformations and evaluate the surgical outcomes. Method： One patient with pons hepatis cavernous malformations was treated through the base of the fourth ventricle approach. Result： The focus of infection was totally resected , Pathologic diagnosis was cavernous malformations. The functional disorders were improved after operation . The patient hadnt appear the new symptoms. Conclusion： With the correct choice of operational approach, to practice control reg neurotomia and to use microsurgical techniques ,The microsurgical management of pons hepatis cavemoma improves the prognosis.