成人脑干肿瘤的18例手术疗效分析

目的探讨成人脑干肿瘤的手术疗效。方法回顾性分析自2011年12月至2016年12月期间连续收治的18例成人脑干肿瘤患者临床病例资料。胶质瘤9例，血管瘤9例，均采用术中神经电生理监测。分析患者的临床疗效。结果肿瘤全切15例，次全切除2例，部分切除1例；术后神经功能障碍好转12例，神经功能障碍无进展5例，意识障碍1例，围手术期病死0例。结论精细的显微手术技术结合术中神经电生理监测，可显著提高手术治疗成人脑干肿瘤的疗效。

Objective To explore the surgical methods of adult brainstem tumors. Methods The clinical data of a series of 18 adult patients with brainstem tumors managed from Dec. 2011 to Dec. 2016 was analyzed retrospectively. Of 18 cases, 9 were gliomas, 9 were vascular. Intraoperative electrophysiologieal monitoring techniques were used in all cases. Results The tumors were totally resected in 15 cases, subtotally resected in 2 cases, and partial resected in 1 case.l-Month postoperative： 12 patients were neurologically better than before, and 5 patients were the same status as before, and i patient failed to regain consciousness after surgery. Conclusion Assisted with intraoperative electrophysiological monitoring techniques, the microsurgical treatment of adult brainstem tumors is effective.