摘要
目的 探讨侧脑室肿瘤显微手术的临床价值。 方法 1996年 5月～ 2 0 0 2年 8月我科运用显微外科技术 ,治疗侧脑室肿瘤 14例。根据肿瘤生长部位 ,选择靠近瘤体的手术入路 ,保护神经组织和脑室深静脉系统 ,分块切除肿瘤。 结果 13例 (92 9% )全切除 ,1例次全切除 (7 1% )。术后并发症 11例 :颅内感染 3例 ,偏瘫 2例 ,脑积水 1例 ,额叶精神症状 3例 ,脑室内血肿 1例 ,命名性失语 1例 ;除 1例偏瘫 ,生活不能自理 ,余 10例恢复良好。随访 9例 ,时间 8～ 6 0个月 ,平均 2 9个月 ,2例星形细胞瘤复发。 结论 显微手术照明良好 ,创伤小 ,提高肿瘤的全切除率。
Objective To explore the clinical value of microsurgery in the treatment of lateral ventricle tumors. Methods Microsurgery was conducted in 14 cases of lateral ventricle trmors in this department from May 1996 to August 2002. According to the location of tumors, we selected the approach close to the focus, protected the surrounding nerve tissue and the deep venous system, and resected the tumor in fractions. Results Among the 14 cases, 13 (92.9%) received total resection and 1 (7.1%) subtotal resection. A total of 11 cases of complications occurred postoperatively, including 3 cases of intracranial infection, 2 cases of hemiparalysis, 1 case of hydrocephalus, 3 cases of frontal lobe mental symptoms, 1 case of intraventricular hematoma and 1 case of nominal aphasia. Except for 1 case of hemiparalysis who were not able to resume the ability to take care of his own basic needs, the remaining 10 cases obtained full recovery. Follow-up in 9 cases for 6～60 months (mean, 29 months) showed 2 cases of recurrence of astrocytoma. Conclusions Microsurgery offers good visualization, minimal invasion and a high total resection rate for tumor.
出处
《中国微创外科杂志》
CSCD
2004年第3期220-221,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
侧脑室
肿瘤
显微手术
Lateral ventricle
Tumor
Microsurgery
