神经内镜在松果体区生殖细胞瘤诊治中的应用  

Application of endoscopic biopsy and third ventriculostomy in the diagnosis and treatment of pineal germ cell tumor

作　　者：赵虎林[1] 田增民[1] 徐永革[1] 

机构地区：[1]海军总医院神经外科,北京100037

出　　处：《中华神经医学杂志》2009年第6期598-600,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨神经内镜在松果体区生殖细胞瘤诊治中的应用价值。方法对20例松果体区占位患者运用神经内镜行第三脑室底造瘘，解除梗阻性脑积水，同时在神经内镜下行活检以明确肿瘤的性质。结果20例患者均解除脑积水，并同时明确病理，均为生殖细胞瘤。结论在松果体区生殖细胞瘤的诊治中．神经内镜是一种安全有效的微侵袭诊疗方法。Objective To investigate the value of endoscopic biopsy and third ventriculostomy in the diagnosis and treatment of pineal germ cell tumors. Methods Endoscopic biopsy and third ventriculostomy were performed in 20 patients with pineal tumors to relieve obstructive hydrocephalus and determine the nature of the neoplasms. Results CT and magnetic resonance imaging confirmed successful third ventriculostomy and biopsy in the 20 cases with total relief of obstructive hydrocephalus. The diagnoses of germ cell tumors were established in all this cases. Conclusions Endoscopic biopsy and third ventriculostomy are effective and safe neuroendoscopic procedures in minimally invasive management of pineal region germ cell tumors.

关 键 词：神经内镜 松果体区生殖细胞瘤 第三脑室造瘘 内镜活检 

分 类 号：R686[医药卫生—骨科学]