摘要
目的探讨经胼胝体-穹窿间入路手术切除三脑室肿瘤的方法和疗效。方法经胼胝体-穹窿间入路显微手术切除三脑室肿瘤15例。肿瘤位于三脑室前部9例、三脑室中部3例、三脑室后部3例。12例患者伴有不同程度的梗阻性脑积水。结果本组11例肿瘤达到镜下全切,3例次全切除,1例部分切除。短期并发症包括尿崩症5例,颅内感染2例,经临床治疗后1～2周后病情好转。远期并发症包括一过性近期记忆力下降3例,1～3个月后症状均恢复正常。结论经胼胝体-穹窿间入路能直视下切除第三脑室的肿瘤,对正常脑组织损伤小,手术切除满意,并发症少。
Objective To investigate the operative effect of removing the tumors in the third ventricle by transcallosal interforniceal approach. Methods 15 patients with tumors of the third ventricle were operated on via the approach of transcallosal-interfornix. 9 tumors located at the anterior part of the third ventricle ,3 tumors at the middle part and 3 tumors at the posterior part. 12 cases of them were accompanied with hydrencephaly in various degrees. After surgery no patient fell in coma. Result Under the operative microscope, the tumors were totally removed in 11 cases, subtotally in 3 cases, and partially in 1case . The recent complications included diabetes insipidus in 5 cases , intracranial infection in 2 cases, which were relieved within 1-2 weeks after clinical therapy. Long-term complications included 3 cases of transient recent memory impairment , which disappeared after 1-3 months. Conclusions The tumors which located in the third ventricle can be removed via this approach. It cause slight damage to the brain tissue, and the postoperative complications were rare.
出处
《临床神经外科杂志》
CAS
2011年第6期301-303,共3页
Journal of Clinical Neurosurgery
关键词
第三脑室
脑肿瘤
经胼胝体-穹窿间入路
third ventricle
brain tumor
transcallosal interforniceal approach
