摘要
目的探讨延髓胶质瘤的病理特点、显微手术技巧和围手术期处理。方法回顾性分析67例延髓胶质瘤的临床资料,枕下后正中入路48例,远外侧入路16例,枕下乙状窦后入路3例。结果肿瘤全切除10例,次全切除45例,部分切除12例。WHO分级Ⅰ级6例,Ⅱ级41例,Ⅲ级15例,Ⅳ级5例。术后并发症7.4%,术后2周内无死亡病例。随访时间10~84个月,平均33个月。根据寿命表法计算,术后1年、3年、5年生存率分别为77%、49%和39%。结论延髓胶质瘤多为低级别肿瘤,通过积极显微外科治疗可获得良好预后。
Objective To study the pathological features, microsurgical skills and perioperative management of medulla oblongata glioma（MOG）. Methods The clinical data of 67 MOG patients were analyzed retrospectively. The posterior median suboccipital approach was chosen in 48 cases, far lateral approach in 16 and suboccipital retrosigmoid approach in 3. Results Complete tumor resection was achieved in 10 cases, subtotal resection in 45 and partial resection in 12. WHO classification gradeⅠwas noted in 6 cases,grade Ⅱ in 41, grade Ⅲ in 15 and grade Ⅳ in 5. The rate of postoperative complications was 7.4%. No patient died in 2 weeks after operation. All the patients were followed-up from 10 to 84 months, with an average of 33 months. According to the life table method, the survival rate of 1-year, 3-years and 5-years was 77%, 49% and 39% respectively. Conclusions MOGs are mostly low-grade tumors. The active microsurgical treatment could get a good outcome.
出处
《中国微侵袭神经外科杂志》
CAS
2015年第12期555-557,共3页
Chinese Journal of Minimally Invasive Neurosurgery
