摘要
目的探讨经侧裂显微手术切除岛叶区胶质瘤的方法，评价其疗效。方法回顾性分析19例岛叶区胶质瘤显微手术治疗情况，总结治疗经验。结果19例胶质瘤患者中，镜下近全切并经术后影像学检查证实17例，大部切除2例。术后2例轻偏瘫，1例短暂性失语。随访3—19个月，除1例肿瘤复发外，余未见复发及明显神经功能障碍。结论追求显微手术全切肿瘤是岛叶区胶质瘤治疗的首选方法。恰当的手术入路，对周围重要结构的精确辨认和保护以及术后放、化疗的合理应用是提高疗效的关键。
Objective To discuss the approach through lateral cleft to removal glioma on insular lobe and to evaluate its therapeutic outcome. Methods Retrospective analysis was adopted to evaluate 19 cases that underwent microsurgery on insular lobe glioma patients, and therapeutic experience was summarized. Results Among 19 patients, 13 total excision ,4 subtotal excision and 2 Partial excision under microscope were confirmed through imaging technique postoperatively. There were 2 mild hemiparalysis and 1 transient aphasia after operation. During the 3-19 months follow-up, no more recurrence or conspicuous neurological dysfunction except 1 recidivation. Conclusion Microsurgical total excision is the first choice to treat insular lobe glioma. Appropriate approach ,precise identify and protect of vicinal important structures, pertinent radiotherapy and chemotherapy postoperatively are all key points to improve the therapeutic efficacy.
出处
《中华神经外科杂志》
CSCD
北大核心
2008年第4期246-248,共3页
Chinese Journal of Neurosurgery
