CAJ | 학술논문

目的分析和探讨脑干海绵状血管瘤的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.
목적 분석화탐토뇌간해면상혈관류적림상책략화영향예후적인소.방법 회고성분석남방의원신경외과2000년1월지2011년12월수치적65례뇌간해면상혈관류병례,기중57례행수술치료.결과 술후40례(70％)환자림상증상개선,17례(30％)술후조기출현일과성신발신경공능장애,균재6개월내회복.통계분석현시병변대소、로내고압증상여병변부위상관,수술시간、술전mRS평분여예후상관.결론 현미수술축점성위뇌간해면상혈관류치료적추세화방향,술전상진적보조검사、신경도항급술중전생리감측화정위등보조기술능구위뇌간수술적순리진행제공가고적보장.
Objective To analyze and discuss the therapy and prognostic associated factors of brainstem cavernoma (BC).Methods 65 cases of brainstem cavernoma 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 40 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.