脑干占位性病变手术后并发症分析  

The analysis of complications after surgical treatment of primary brain stem diseases

作　　者：李劲松[1] 史继新[1] 王汉东[1] 

机构地区：[1]南京军区南京总医院神经外科,210002

出　　处：《中华外科杂志》2006年第14期976-978,共3页Chinese Journal of Surgery

摘　　要：目的分析脑干病变手术后并发症,探讨手术治疗脑干病变的疗效。方法回顾性分析2000年1月至2005年12月38例脑干占位性病变手术后并发症的发生及转归。对38例患者进行至少2次随访,分别在术后1个月和3个月。结果38例患者中1例死亡,37例出现术后并发症,并发症发生率为97%(37/38),病死率为2．7%(1/38)。感觉障碍总发生率37%(14/38),术后好转率43%(6/14),肢体运动障碍总发生率55%(21/38),其中57%(12/21)痊愈,余者好转；中脑病变眼球运动障碍发生率7/8,5/7痊愈；桥脑病变面瘫发生率77%(10/13),40%(4/10)痊愈,余者好转。延髓病变后组颅神经功能障碍发生率4/9,3个月后均恢复。意识障碍中枢性呼吸循环衰竭等严重并发症发生率低,大多可痊愈。结论脑干内膨生性生长的病变手术后的并发症可以接受,对脑干内的病变应采取积极手术治疗。Objective To analyze the complications of the surgical treatment on primary brain stem diseases. Methods From January 2000 to December 2005, 38 patients with primary brain stem diseases underwent surgical operation. The data of the patients were retrospectively analyzed. Results The incidence of complication was 97% （37/38）, and the mortality rate was 3% （1/38）. The rate of hypesthesia was 37% （14/38）, and 43% （6/14） improved 3 month after operation. Hemiplegy rate was 55% （21/38）, and the recovery rate was 57% （ 12/21 ）, the others improved. Disturbance of eyes movement happened in 7 patients among 8 diencephalon disease patients, 5 patients recovered. The rate of facial paresis among pens disease patients was 77% （ 10/13 ）, 4 patients recovered. Severe complication such as disturbance of consciousness, breath and circulation failure were very low, and the outcome was very good. Conclusions The rate of complication that affects living quality is low, most of complications are improved. It means that the complication of brain stem operation is acceptable, so the brain stem disease should be treated actively.

关 键 词：脑干肿瘤 手术后并发症 占位性病变 

分 类 号：R651[医药卫生—外科学]