脑胶质瘤的显微手术治疗附47例临床总结  

Microsurgical Treatment of Gliomas:Report of 47 Cases

作　　者：宋敏鹰[1] 刘小红[1] 宋志惠[1] 王云彦[2] 陈桂增[1] 袁集熙[1] 陈伟朝[1] 

机构地区：[1]东莞市人民医院神经外科,广东东莞523018 [2]山东大学齐鲁医院,山东济南250000

出　　处：《中国神经肿瘤杂志》2007年第2期126-128,共3页Chinese Journal of Neuro-Oncology

摘　　要：背景与目的:脑胶质瘤的治疗原则为以手术治疗为主的综合治疗,但手术切除的彻底与否与预后直接相关,本文探讨显微手术完全切除脑胶质瘤的疗效。方法:回顾性分析自1993年3月至2005年6月共47例脑胶质瘤患者接受显微切除手术的疗效及生存情况。结果:32例非功能区肿瘤达到全切,15例功能区肿瘤肉眼全切除,术后随访12～162个月,平均44.6个月,低级别(Ⅰ、Ⅱ级)星形细胞瘤5年生存率为(72%)13/18,最长14年,高级别(Ⅲ、Ⅳ级)星形细胞瘤5年生存率为(33.3%)4/12。结论:在保护神经功能的前提下,应运显微技术完全切除肿瘤,可提高患者生存时间。BACKGROUND ＆ OBJECTIVE：Microsurgery is still a mainstay of treatment in gliomas. This study was conducted to evaluate the effect of total tumor resection in the treatment of gliomas. METHODS： Clinical data of 47 glioma patients, who were treated with microsurgery in our hospital between March of 1993 and June of 2005, were retrospectively analyzed. RESULTS： Total resection of the tumor was achieved in all the 47 case, of whom 32 tumors located in non-eloquent areas and 15 in eloquent area. Patients were followed up for 12 to 162 months, with an average of 44.6 months. The 5-year survival rate of patients with low-grade gliomas was 72%（13/18） and that of patients with high-grade gliomas was 33.3%（4/12）. CONCLUSIONS： Total resection can prolong the surval time of patients with gliomas.

关 键 词：脑肿瘤/胶质瘤 显徽手术 疗效 

分 类 号：R739.41[医药卫生—肿瘤]