经膜髓帆入路切除桥脑背侧海绵状血管畸形12例报道  

Microsurgical treatment of pontine cavernous malformations via transtelovelar approach： a clinical analysis of 12 cases

作　　者：周辉[1] 王富元[1] 孙维晔[1] 施辉[1] 

机构地区：[1]连云港市第一人民医院神经外科,222002

出　　处：《中华神经医学杂志》2016年第10期1056-1059,共4页Chinese Journal of Neuromedicine

摘　　要：目的探讨经膜髓帆入路切除桥脑背侧海绵状血管畸形（CMs）的手术时机和手术指征。方法选取自2009年1月至2014年12月连云港市第一人民医院神经外科收治的12例桥脑背侧CMs患者的临床资料进行分析。所有患者均采用枕下后正中经膜髓帆入路进行手术切除，术中应用神经电生理监测。结果术后MR检查显示12例患者病灶均全切除，无手术死亡病例。1例患者术后肢体偏瘫较术前加重，1例患者术后新增面部麻木症状，半年后均恢复至术前。术后随访4～36个月，随访期内MR复查均未见病灶复发。结论经膜髓帆入路切除桥脑背侧CMs效果满意．长期随访预后良好。Objective To explore the surgical treatment strategies, advantages and surgical indications of pontine cavernous malformations （CMs） through transtelovelar approach. Methods This study included 12 patients with pontine CMs, admitted to our hospital from January 2009 to December 2014. The clinical data of these patients were retrospective study. Results All patients received microsurgical treatment to remove the pontine CMs located in the back of pons through transtelovelar approach. The total resection was achieved in all 12 patients. Follow up was performed for 4 to 36 months, no death case was noted. Postoperative complications of worsening original symptom were noted in one patient and new neurological symptoms in one. Conclusions The transtelovelar approach can provide adequate exposure to remove the brainstem CMs located in the back of pons. Long-term follow up indicates satisfactory efficacy and prognosis of microsurgical treatment.

关 键 词：海绵状血管畸形 经膜髓帆入路 桥脑 

分 类 号：R651.2[医药卫生—外科学]