桥脑海绵状血管瘤显微手术11例分析

摘要

目的 总结桥脑海绵状血管瘤的手术入路选择及疗效.方法 回顾性分析11例经显微手术治疗的桥脑海绵状血管瘤患者的临床资料,总结手术时机和手术入路选择,随访手术疗效.结果 术中均采用电生理监测,后期4例患者结合神经导航.根据肿瘤在桥脑的部位选择相应手术入路.11例患者中,10例在亚急性期手术,1例在慢性期手术.肿瘤全切10例,1例部分切除.神经功能明显改善8例,2例较术前无明显变化,1例术后28 d再次出血死亡.结论 对于有明确手术适应证的桥脑海绵状血管瘤,在亚急性期选择合适的手术入路,结合神经导航及电生理监测,手术疗效及预后较好.%Objective To summarize the selection of surgical apporach and the outcome of pons cavernous hemangiomas.Methods Data of 11 patients with pons cavernous hemangiomas were retrospectively analyzed,who received tumor resection under microscope.The selection of surgical approaches was summarized and the outcomes were analyzed.Results The surgery was performed by the guidance of neuroelectrophysiology,of whom 4 cases were done under the monitoring of neuronavigation.The total resection was reached in 10 cases in the subacute stage and 1 case received subtotal resection at the chronic time.The neural function after surgery was improved markedly in 8 patients,illness state was stable in 2 cases and 1 case died from rehaemorrhagia.Conclusion In the patients with pons cavernous hemangiomas having definite indication of operation,the satisfactory surgical efficacy and prognosis can be obtained when proper surgical approach is selected and the operation is performed using the neuroelectrophysiology monitoring and neuronavigation guidance.