丘脑肿瘤的临床特征和外科治疗  

Surgical Treatment and Clinical Characteristics of Children′s Thalamic Tumors

作　　者：徐立权[1] 徐伟[1] 徐启武[1] 徐荣[1] 

机构地区：[1]复旦大学附属华山医院,上海200040

出　　处：《实用儿科临床杂志》2006年第11期662-663,665,共3页Journal of Applied Clinical Pediatrics

摘　　要：目的 研究儿童丘脑肿瘤的临床特征和外科治疗效果。方法 回顾性研究手术治疗丘脑肿瘤儿童22例的临床资料，并进行6个月～9年随访。结果 丘脑肿瘤儿童平均年龄9岁，男童略多于女童，病程约2个月，头痛和视乳头水肿为最常见的症状和体征，病理类型以低级别的胶质瘤最常见，大部分丘脑肿瘤影像表现边界较清。显微外科治疗肿瘤全切9例，次全切8例，部分切除3例，活检2例。术后症状和体征好转10例，不变8例，加重4例，无手术死亡。结论 儿童丘脑肿瘤临床特征明显，手术切除近期疗效肯定，远期疗效取决于病理类型。Objective To study the clinical characteristics and effects of surgical treatment of children with thalamic tumors. Methods The clinical data of 22 cases were retrospectively studied and followed - up 6 months to 9 years. Results There were 13 boys and 9 girls, their ages ranging from 3 to 13 years. The average duration of symptoms before diagnosis about 2 months. Headache and papilledem were the most symptoms and signs, respectively. Most children＇s thalamic tumors were low grade tumors with clear verge. In this group, good results were obtained that total remove 9 cases,subtotal remove 8 cases,partial remove 3 cases,biopsy 2 cases and no surgical death. Conclusions Clinical character of children thalamic tumors is distinct and good surgical results in the nearly future. The long results are determined by type of pathology.

关 键 词：丘脑肿瘤 临床特征 外科学 治疗 儿童 

分 类 号：R739.41[医药卫生—肿瘤]