脑干海绵状血管瘤治疗分析（附65例报告）  

Treatment analysis of 65 cases of brainstem cavernoma： case report and review

作　　者：徐书翔[1] 漆松涛[1] 冯文峰[1] 方陆雄[1] 邱炳辉[1] 

机构地区：[1]南方医科大学南方医院神经外科,广州510515

出　　处：《中华神经外科杂志》2013年第10期987-991,共5页Chinese Journal of Neurosurgery

摘　　要：目的分析和探讨脑干海绵状血管瘤的I临床策略和影响预后的因素。方法回顾性分析南方医院神经外科2000年1月至2011年12月收治的65例脑干海绵状血管瘤病例，其中57例行手术治疗。结果术后40例（70％）患者临床症状改善，17例（30％）术后早期出现一过性新发神经功能障碍，均在6个月内恢复。统计分析显示病变大小、颅内高压症状与病变部位相关，手术时间、术前mRS评分与预后相关。结论显微手术逐渐成为脑干海绵状血管瘤治疗的趋势和方向，术前详尽的辅助检查、神经导航及术中电生理监测和定位等辅助技术能够为脑干手术的顺利进行提供可靠的保障。Objective To analyze and discuss the therapy and prognostic associated factors of brainstem cavernoma （BC）. Methods 65 cases of brainstem cavemoma were admitted into neurosurgery department of Nanfang Hospital between January 2000 and December 2011, and 57 cases underwent surgery. Results Postoperative status was improved in dO cases （70%）. 17 cases （30%） presented with transient new neurological deficits in early postoperative stage, which had all recovered in 6-month follow-up. Lesion size and intracranial hypertension were associated with the location of lesion. Surgical timing and preoperative mRS were associated with the prognosis. Conclusions Microsurgery has gradually been the tendency of treatment of brainstem cavernoma. Precise preoperative examination and assistive technologies such as neuronavigation, electrophysiological monitoring and mapping, could provide reliable guarantee for the successful proceeding of surgery.

关 键 词：脑干 海绵状血管瘤 手术 预后 

分 类 号：R739.4[医药卫生—肿瘤]