23例脑干海绵状血管瘤的显微外科治疗及预后分析.pdf

0FXINJIANGMEDICAI。UNIVERSITY2010 新疆医科大学学报JOURNAL 23例脑干海绵状血管瘤的显微外科治疗及预后分析 麦麦提力·米吉提。，阿斯哈尔，成晓江”，周 凯，赛力克·买买提力 (新疆医科大学第一附属医院神经外科，新疆乌鲁木齐830011) 摘要：目的 探讨脑于海绵状血管瘤的显微外科治疗及预后。方珐 对23例脑干海绵状血管瘤患者的临 床资料进行回顾性分析。所有患者均接受显微外科治疗，病灶给予全切。结果 无手术死亡病例。18例术后神 经功能障碍比术前明显改善；2例术后神经功能缺失进一步加重。但在术后随访期间，神经功能已恢复至术前状态； 3例术后症状无改善。经平均38个月随访，均未见病变复发。结论脑干海绵状血管瘤表现为进行性神经功能 缺失，具有占位效应，接近脑干表面者可考虑手术治疗。掌握适当手术指征和微创技术，脑干海绵状血管瘤可通过 手术切除，预后良好。 关键词：脑干；血管瘤；海绵状；显微外科 中图分类号：R651．1文献标识码：A 文章编号：1009—5551(2010)07—0817-03 on treatmentandoutcomeofbrainstem Analysis Microsurgical cavernous in23cases hemangioma al Maimaitili·Mijiti，Askar，CHENFXiao-jiang，et Affiliated Medical (DepartmentofNeurosurgery，FirstHospital，XinjiangUniversity， 83001 Ururnqi1，China) the treatmentoutcome To and ofbrainstemcavernous Abstract：ObjectiveanalyzeMicrosurgical hemangi— omain of23 with 23cases．MethodsTheclinicalrecords brainstemcavernous were patients hemangioma 23 reviewed．Resultsthe cases，5casesweresituatedin cases retrospective Among in case casesin in and2casesinmedulla pontomesencephalicjunction，12pons，l pontomedullaryjunction ofthe were treatment，andcavernous were oblongata．Allpatientsundergonemicrosurgical hemangiomas