| 脑干区占位病变的手术入路 |
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| 引用本文： | 何理盛,易善楚,黄毅林,王君宇,马建荣,王茂山.脑干区占位病变的手术入路[J].中国微侵袭神经外科杂志,1996(4). |
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| 作者姓名： | 何理盛 易善楚 黄毅林 王君宇 马建荣 王茂山 |
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| 作者单位： | 福建医科大学第一附属医院神经外科 福州350005(何理盛)，湖南医科大学湘雅医院神经外科 长沙410008(易善楚，黄毅林，王君宇，马建荣，王茂山) |
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| 摘 要： | 本文报告了1990年5月以来脑干区大型、复杂占位病变15例.其中,位于脑干内3例,脚间窝2例,岩尖部4例,全岩骨区1例,全斜坡区2例,第四脑室内3例.本组采用以扩大了的岩骨入路为主的联合入路,行肿瘤全切除8例,次全切除5例.2例仅作了活检加减压术.除1例死亡外,均恢复良好.本文结合文献,对脑干区手术入路进行了讨论.
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| 关 键 词： | 脑干 占位性病变 肿瘤 岩骨 手术入路 |
Surgical approach of occupying lesions in the brainstem region |
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| He Lisheng,Yi Shanchu,Huang Yilin et al.Surgical approach of occupying lesions in the brainstem region[J].Chinese Journal of Minimally Invasive Neurosurgery,1996(4). |
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| Authors: | He Lisheng Yi Shanchu Huang Yilin |
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| Institution: | He Lisheng,Yi Shanchu,Huang Yilin et al Department of Neurosurgery,First Affiliated Hospital,Fujian Medical University |
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| Abstract: | Fifteen cases of giant and large occupying lesions of the brain-stem treated by surgery, were reported. Of them, 3 cases located at intra-brainstem, 2 cases at interpeduncular fossa, 4 cases at petrosal apex, 1 case envolved the petrous bone, 2 cases envolved the clavus, and 3 cases within the 4th ventricle. 12 cases were operated by combined and extended transpetrosal approach. Total tumor removal were achieved in 8 cases, and subtotal tumor removal in 5 cases. Among the 15 cases, 14 cases had-gaisedgood postoperative-recovery,One case was dead. A discussion and review of the literatures have been made on operative approach of brainstem region in this paper. |
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| Keywords: | brainstem occupying lesion petrous bone surgical approach |
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