以颅神经损害症状首发的脑干海绵状血管瘤的外科治疗
目的探讨以颅神经损害症状首发的脑干海绵状血管瘤手术治疗的临床效果。方法对17例以颅神经损害症状首发的脑干海绵状血管瘤出血手术患者,观察、随访1年和疗效评定（NIHSS评分,mRS评分）;并对患者的资料进行回顾性分析。结果本组患者术前与术后1、6、12个月NIHSS评分和mRS评分比较,差异均无统计学意义（均P〉0.05）。结论首次有症状性出血并位于脑干表面的海绵状血管瘤,尤其是有颅神经损害症状者,可根据病灶部位选择合理的手术入路,采取手术切除脑干海绵状血管瘤,对预防再出血,提高临床治愈率,改善患者预后具有积极作用。...
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| Published in | 临床神经外科杂志 Vol. 14; no. 3; pp. 194 - 196 |
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| Main Author | |
| Format | Journal Article |
| Language | Chinese |
| Published |
第四军医大学唐都医院神经外科,西安,710038
2017
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1672-7770 |
| DOI | 10.3969/j.issn.1672-7770.2017.03.009 |
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| Summary: | 目的探讨以颅神经损害症状首发的脑干海绵状血管瘤手术治疗的临床效果。方法对17例以颅神经损害症状首发的脑干海绵状血管瘤出血手术患者,观察、随访1年和疗效评定（NIHSS评分,mRS评分）;并对患者的资料进行回顾性分析。结果本组患者术前与术后1、6、12个月NIHSS评分和mRS评分比较,差异均无统计学意义（均P〉0.05）。结论首次有症状性出血并位于脑干表面的海绵状血管瘤,尤其是有颅神经损害症状者,可根据病灶部位选择合理的手术入路,采取手术切除脑干海绵状血管瘤,对预防再出血,提高临床治愈率,改善患者预后具有积极作用。 |
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| Bibliography: | cranial nerve;brainstem cavernous vascular;surgical treatment 32-1727/R CAI Qing, WANG Shou-jie, FENG Da-Yun, et al. （Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi ＇ an 710038, China） Objectives To investigate the clinical efficacy of surgical treatment of brainstem cavernous hemangioma（BCM） with cranial nerve symptoms.Methods 17 patients with brainstem cavernous hemangioma hemorrhage with cranial nerves symptoms were selected and followed up for 1 years after operation,The curative effect were analyzed retrospectively.Results 17 patients were scored by NIHSS and mRS score in preoperative and postoperative （1 m,6 m,12 m） respectively,Compared to preoperative and postoperative NIHSS and mRS score,the difference was not statistically significant（all P〈0.05）.Conclusion Surgical excision for symptomatic hemorrhage,accessible brainsterm cavernous hemangioma,especially with cranial nerves dysfunction is effective for reduction the recurrent hemorrhage rate and improve the prognosi |
| ISSN: | 1672-7770 |
| DOI: | 10.3969/j.issn.1672-7770.2017.03.009 |