第四脑室室管膜瘤的显微手术治疗  

Microsurgical Treatment of the Fourth Ventricle Ependymomas

作　　者：范松华 姚瑜[2] 朱晓江[2] 

机构地区：[1]辽宁省盘锦市第一人民医院,辽宁盘锦124010 [2]上海交通大学附属第一人民医院,上海200080

出　　处：《科技通报》2007年第1期72-74,共3页Bulletin of Science and Technology

摘　　要：目的探讨第四脑室室管膜瘤的显微手术治疗方法。方法运用显微神经外科技术,采用后颅窝正中人路,切除肿瘤l1例。结果肿瘤全切8例,近全切除2例,大部切除l例。l例死于术后脑干损伤。另1例2年后复发死亡。术后出现脑积水2例,均行脑室-腹腔分流术。结论应用显微外科技术治疗第四脑室肿瘤,手术成功率高。熟悉第四脑室的显微解剖,注意保护脑干功能是手术成功的关键。Objective To explore the microsurgical treatment of the fourth ventricular ependymomoas. Methods A total of 11 cases of the fourth ventricular ependymomas were received microsurgieal treatment through a median infratentorial approach. Results Among the 11 patients,8 tumors were totally removed, 2 with subtotal removal and 1 with partially removal. One patient died from postoperative brain stem injury. While another patient died from recurrence two years later. Hydrocephalus was diagnosed in 2 cases after resection surgery. VP shunts were subsequently performed. Conclusions The microsurgical technique during the treatment of the fourth ventricular ependymomoas can help to improve the outcome of the patients.Protection of brain stem during operation and well understanding microanatomy of the fourth ventricular are the key to successfully complete the procedure.

关 键 词：室管膜瘤 第四脑室 显微手术 

分 类 号：R739[医药卫生—肿瘤]