13例延髓海绵状血管瘤的显微外科治疗  

Microsurgical management of the medulla oblongata cavernomas in 13 cases

作　　者：秦兴平[1] 刘仁忠[1] 简志宏[1] 葛培林[1] 史强[1] 

机构地区：[1]武汉大学人民医院神经外科,430060

出　　处：《临床神经外科杂志》2012年第4期222-224,共3页Journal of Clinical Neurosurgery

摘　　要：目的探讨延髓海绵状血管瘤显微手术指征、手术方式及预后。方法对13例行显微手术治疗的延髓海绵状血管瘤患者的临床资料及手术效果进行分析总结。结果 13例均获得全切。术后早期神经功能障碍改善11例,同术前1例,加重1例。结论对有手术指征的延髓海绵状血管瘤,应积极行显微手术治疗。Objective To evaluate the surgical indications, approaches and prognosis of microsurgical treatment for the medulla oblongata cavernomas （MOC）. Methods The clinical data of 13 patients with MOC underwent microsurgery were analyzed retrospectively . Results All patients were achieved total resection. The neural function disorders were improved after operation in 11 cases, no changes in 1 and worsened in 3. However, the impaired neural function was recovered gradually to the preoperative level three months after operation. Conclusion Satisfactory clinical effect of microsurgery for medulla oblongata cavernomas can be obtained if the surgical inidcaiton is chosen appropriately.

关 键 词：血管瘤 海绵状 延髓 显微外科手术 预后 

分 类 号：R651.1[医药卫生—外科学]