中枢神经细胞瘤的诊断和显微手术治疗  

Diagnosis and microsurgical treatment of central neurocytoma

作　　者：罗成义[1] 徐如祥[1] 

机构地区：[1]南方医科大学珠江医院神经外科,广州510282

出　　处：《中华神经医学杂志》2005年第2期142-144,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨中枢神经细胞瘤的诊断和治疗经验.方法回顾性分析1995年8月～2003年7月我院收治的12例中枢神经细胞瘤,总结其临床表现、诊断方法及显微外科手术效果.结果手术治疗12例,其中9例完全切除,3例大部分切除,手术后常规进行放射治疗,随访6～24个月,效果良好.结论显微手术切除肿瘤辅助放疗是中枢神经细胞瘤的一种有效治疗策略.Objective To improve the diagnosis and microsurgical treatment of central neurocytoma. Methods 12 cases of central neurocytoma from August 1995 to July 2003 were analyzed retrospectively in respect of clinical manifestations, diagnostic methods and microsurgical results. Results Among the 12 cases operated on, total removal was achieved in 9 cases and subtotal removal in 3 cases, and the patients were followed by fractionated radiotherapy (total dose of 40~50Gy) as a routine method. 2 patients experienced a recurrence of hydrocephalus 15 d later and underwent additional ventriculo-peritoneal shunt. The follow-up of 6~24 months proved satisfactory in surgical outcomes. Conclusion Microsurgical resection followed by adjuvant radiotherapy is an effective treatment strategy against central neurocytomas.

关 键 词：中枢神经细胞瘤 诊断和治疗 显微手术治疗 肿瘤 辅助放疗 部分切除 完全切除 

分 类 号：R739.4[医药卫生—肿瘤]