边缘系统胶质瘤的特点及显微外科治疗  

Characteristics and Microsurgical Treatment of Glioma in Limbic System

作　　者：许海雄[1] 刘明发[2] 罗友章[1] 李克民[1] 张志宏[1] 方旭生[1] 林恩[1] 郭骅[1] 张增良[2] 孙德麟[2] 

机构地区：[1]广东省汕头市中心医院神经外科,汕头515031 [2]汕头大学医学院第二附属医院神经外科,汕头515031

出　　处：《中国临床医学》2005年第1期36-38,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨应用显微外科手术广泛切除边缘系统胶质瘤的方法和疗效。方法:回顾分析2000年1月-2003年5月应用显微外科手术广泛切除的边缘系统胶质瘤10例,术后常规化疗或(和)放疗,6-12个月中复查头颅CT或MRI观察病灶区域的情况,随访其疗效。结果:患者均行广泛性边缘系统肿瘤全切除术。病理检查:星形细胞瘤Ⅰ级6例.Ⅰ-Ⅱ级3例,少枝胶质细胞瘤1例。围手术期情况均良好,无手术死亡。10例患者均获门诊随访,其中最长3年5个月,最短10个月。、早期复查头颅CT,未见明显肿瘤残留。近期复查头颅CT或MRI,尚未发现肿瘤复发征象。结论:应用显微外科手术广泛切除边缘系统胶质瘤.辅助化疗或(和)放疗是有效治疗方法之一,无明显后遗症。Objective: To study the methods and results of microsurgical operations used in extensively removing the gliomas in limbic sytem. Methods: 10 rases of gliomas in limbic system which were operated by extensive microsurgical remove were Retrospectively analyzed during Jan 20(10 to May 2003. Chemotherapy and or radiotherapy were used after operation.and the focal lesion was cxarninated again by CT or MRI after 6 - 12 months . Results: All gliornas in limbic sytemwere total by removed and had excellent recovery after operanon.no one died in the operation. Pathology showed that 6 cases were astrocytoma grade 1.3 cases were astrocytoma grade Ⅰ -Ⅰ and 1 case was ohgodcndroglioma. All cases had follow up from 10 months to 41 months. There was no tumor residue on brain CT early after operation, and No recurrence was shown on recent CT or MRI. Conclusion: Using extensively microsurgical remove. Combined with chemotherapy and or radiotherapy after operation is effective in treating glioma in limbic sytem,and no lingering effects were found.

关 键 词：边缘系统 胶质瘤 广泛切除 肿瘤 显微外科手术 头颅CT 复查 区域 目的 近期 

分 类 号：R739[医药卫生—肿瘤] R730.264[医药卫生—临床医学]