摘要
目的 对边缘系统胶质瘤的临床特征、手术切除及效果进行分析。方法 对 1997年10月至 2 0 0 0年 4月进行切除的 19例边缘系统胶质瘤病人的临床表现、病理类型、影像学特征、手术及预后进行回顾性分析。结果 19例病人均进行了肿瘤切除 ,14例全切 ,5例次全切 ,术后除各有 2例病人出现暂时运动性失语和对侧肢体偏瘫外 ,均恢复良好 ,无严重的手术并发症及手术死亡。结论 边缘系统胶质瘤源于原始皮质 ,MRI能清楚地显示肿瘤的大小、部位、范围和界限 ,可以进行广泛性肿瘤切除而不损伤或很少损伤重要结构。
Objective To analyze the clinical manifestation, pathological classification, neuroimagings, surgical treatment and outcome of gliomas of the limbic system.Methods Ninteen patients with gliomas of the limbic system were analyzed retrospectively, All the patients were operated on from October 1997 to April 2000 in our hospital. Results Among the all of 19 patients, the tumor were removed totally in 14 and subtolally in 5. All patients received excellent postoperative recovery, except for 2 patients who developed temporary frontal aphasia and contralateral hemiplegia respectively.There was no operative mortality and severe post operative complications.Most of them were able to resume work.Preoperatively 79% of the patients had epilepsy, but 80% became seizure free after tumor removal.Conclusions Gliomas of the limbic system originate from the primitive cortical areas, which have a propensity to spread with the confines of the primitive cortical zones while sparing the adjacent neocortical areas and medial structures.MRI may clearly reveal the size, location, confines and sharp demarcation of the tumors.Hence these tumors can be removed aggressively with no or only minor neurological deficit.
出处
《中华神经外科杂志》
CSCD
北大核心
2002年第6期384-385,共2页
Chinese Journal of Neurosurgery
