摘要
目的:探讨边缘系统胶质瘤治疗方法及时机的选择。方法:20例患者,左侧占14例,有16例患者术前有癎发作史,病史多较长,所有患者均施行了肿瘤切除术。手术切口均取翼点入路,通过外侧裂及其上下到达病灶区,通过过渡区保护脑重要功能区,术后均辅以放疗。结果:术后无偏瘫、失语,随访1至3年无复发,癫癎得以改善。术后病理示胶质瘤Ⅰ级6例、Ⅰ-Ⅱ级12例、Ⅲ级2例。结论:边缘系统胶质瘤易被误诊为脑白质病、炎症、退行性变、脑梗死等症,治疗应首选手术。术后辅以放疗。
Objective: To explore the methods and opportunity of the treatment of limbic and paralimbic system gliomas. Methods: The study includes 20 patients, 14 involved with left hemisphaeria. There are 16 patients with intractable epilepsy for a long time prior to surgery. All patients received the resection of the tumors. Following a standard pterional approach, we can get to the focus through lateral fissure and protect the important brain functional areas depending on the transition area. All patients underwent radiotherapy after operation. Results: There are no patients with paralyses, alogian or tumor recurrence within 1-3 years after operation. Pathological examination shows us 6 patients with Ⅰ grade glioma, 12 patients with Ⅰ- Ⅱ grade and 2 patients with Ⅲ grade. Conclusions: Limbic and paralimbic system gliomas are easily misdiagnosed as leukodystrophy, inflammation, cerebral retrogression, cerebral embolism, et al. Operation is the first choice to these patients. All patients must undergo radiotherapy after operation.
出处
《南京医科大学学报（自然科学版）》
CAS
CSCD
北大核心
2004年第3期253-255,共3页
Journal of Nanjing Medical University(Natural Sciences)
关键词
边缘系统
胶质瘤
治疗
limbic system
glioma
treatment
