摘要
本文报告经脉络裂入路处理三脑室病变8例,并介绍了手术方法。该入路的优点是:(1)脉络裂系侧脑室壁最薄弱的部位,经此甚易进入三脑室;(2)不切断穹窿,术后无记忆缺失之虞;(3)显露好,特别适用于三脑室中部,也适用于三脑室前部或后部病变。作者认为,对三脑室前中部病变,可分别通过脉络裂和室间孔这一“8”字形入路处理,而无需将二者之间的室间孔后缘切开,从而避免了结扎切断丘纹静脉可能带来的不良后果。
Eight patients with third ventricular tumorwere operated through choroidal fissure.Theoperative technique was described.Theadvantages of this approach are;(1)easyentering into the third ventricle,(2)goodexposure during operation,and(3)avoidingmemory dysfunction after section of thefornix and preserve the thalamostriate vein.This operative approach is most useful intumor over the middle part of thirdventricle and also may be used in lesionsover the anterior or posterior portion ofthe third ventricle.In fact this operationcan be performed through both the choroidalfissure and the foramen of Monro along an8-shaped opening.
出处
《中华神经外科杂志》
CSCD
北大核心
1991年第4期262-264,共3页
Chinese Journal of Neurosurgery
