论文部分内容阅读
目的 总结32例侧脑室肿瘤的主要临床表现,手术入路和治疗效果,以提高侧脑室肿瘤的全切率,减少并发症,改善手术效果。方法 回顾性分析一组32例侧脑室肿瘤,CT、MRI作为术前诊断及设计手术入路的主要依据。本组按肿瘤中心部位不同分别采用经皮质入路和经胼胝体入路,运用显微外科手术切除肿瘤。结果 手术全切肿瘤26例,次全切除肿瘤4例,大部切除肿瘤2例,无手术死亡。结论 选择合适的手术入路,合理运用显微手术技术切除侧脑室肿瘤,可获得良好的手术效果。
Objective To summarize the main clinical manifestations, surgical approaches and therapeutic effects of 32 cases of lateral ventricle tumors in order to improve the rate of lateral ventricular tumor resection, reduce the complications and improve the surgical results. Methods A retrospective analysis of a group of 32 patients with lateral ventricle tumors, CT, MRI as the main basis for preoperative diagnosis and design of surgical approach. The group according to the different tumor center were trans-cortical approach and the corpus callosum approach, the use of microsurgery to remove the tumor. Results Totally 26 cases were completely resected, 4 cases were subtotally resected, and 2 cases were mostly resected. There was no surgical death. Conclusion Select the appropriate surgical approach, the rational use of microsurgical removal of lateral ventricle tumors, can obtain good surgical results.