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经显微手术处理的难治性脑瘤86例,其中脑干肿瘤17例,海绵窦(CS)肿瘤7例,斜坡脑膜瘤12例,丘脑肿瘤14例,松果体区肿瘤12例,巨型(直径)>4cm)听神经瘤21例,枕大孔区肿瘤3例。肿瘤全切和近全切除69例,大部和部分切除17例,死亡1例。难治性脑瘤一旦确诊,应尽早手术治疗。手术应根据肿瘤的具体部位、大小及其扩展的范围而选择适当的入路,力求显露充分,应用显微外科技术,尽可能多地摘除肿瘤,乃至于全切除。以便提高术后疗效和生存质量。
There were 86 cases of refractory brain tumor treated by microsurgical operation, including 17 cases of brain stem tumor, 7 cases of cavernous sinus (CS), 12 cases of meningioma, 14 cases of thalamic brain tumor, 12 cases of pineal region tumor, (Diameter)> 4cm) acoustic neuroma in 21 cases, 3 cases of tumor in the foramen magnum. Totally 69 patients underwent total resection and near total resection, with 17 cases being mostly and partially resected and 1 patient dead. Once diagnosed refractory brain tumor, surgical treatment should be as soon as possible. Surgery should be based on the specific location of the tumor, size and scope of its expansion and select the appropriate approach, and strive to reveal the full application of microsurgical techniques, as much as possible to remove the tumor, and even total resection. In order to improve postoperative efficacy and quality of life.