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目的总结桥脑海绵状血管瘤的手术入路选择及疗效。方法回顾性分析11例经显微手术治疗的桥脑海绵状血管瘤患者的临床资料,总结手术时机和手术入路选择,随访手术疗效。结果术中均采用电生理监测,后期4例患者结合神经导航。根据肿瘤在桥脑的部位选择相应手术入路。11例患者中,10例在亚急性期手术,1例在慢性期手术。肿瘤全切10例,1例部分切除。神经功能明显改善8例,2例较术前无明显变化,1例术后28d再次出血死亡。结论对于有明确手术适应证的桥脑海绵状血管瘤,在亚急性期选择合适的手术入路,结合神经导航及电生理监测,手术疗效及预后较好。
Objective To summarize the choice of surgical approach and effect of pontine cavernous hemangioma. Methods The clinical data of 11 patients with pontine cavernous hemangioma treated by microsurgery were retrospectively analyzed. The timing of operation and surgical approach were summarized, and the curative effect was followed up. Results All the patients were monitored by electrophysiology, and 4 patients were combined with neuro-navigation. According to the site of tumor in the pontine choose the appropriate surgical approach. Of the 11 patients, 10 had subacute and 1 had chronic surgery. Tumor resection in 10 cases, 1 case of partial resection. Neurological function improved significantly in 8 cases, 2 cases no significant change compared with preoperative, 1 case of bleeding again after 28 days of death. Conclusions For the pontine cavernous hemangiomas with definite surgical indications, the appropriate surgical approach is selected in the subacute stage. Combined with neuronavigation and electrophysiological monitoring, the curative effect and prognosis are good.