丘脑肿瘤的临床特点及外科治疗  

Clinical presentation and surgical treatment of thalamic tumors

作　　者：廖可立[1] 王汉东[1] 史继新[1] 杭春华[1] 谢韡[1] 潘云曦[1] 

机构地区：[1]南京军区南京总医院神经外科,江苏南京210002

出　　处：《西部医学》2010年第10期1825-1826,共2页Medical Journal of West China

摘　　要：目的探讨丘脑肿瘤的临床特点和手术治疗效果。方法回顾性研究了37例经开颅手术治疗的丘脑肿瘤病人,并进行了2个月～6年的随访。结果肿瘤全切20例;次全切14例;大部切除3例。术后神经缺失症状和体征改善者27例;无明显变化者5例;加重者4例;死亡1例。结论同多数脑肿瘤患者相比丘脑肿瘤低龄较多,肿瘤性质多为低级别星形细胞瘤,积极的开颅手术和恰当的辅助治疗对这部分病人的预后是有利的。结合患者临床表现和应用现代神经影像学技术、神经导航技术的辅助可以明显降低手术并发症,改善患者生活质量和延长生存时间。Objective To investigate the clinical characteristic and effects of surgical treatment of thalamic tumors.Method The clinical data of 37 cases were retrospectively studied and followed-up for 2 months to 6 years.Results T Intracranial hypertension was the most symptoms and signs.In this group,there were 20 cases with total resection,14 cases with subtotal resection and 3 cases with partial resection.There were 27 cases improved and 4 cases aggravated.Conclusions Combining Clinical situation with contemporary neuroimaging and computer-assisted volumetric resection to aggressive surgical resection is favorable to lower complication and improve quality of life and extend live time.

关 键 词：丘脑肿瘤 磁共振 体征和症状 外科学 治疗 

分 类 号：R739.41[医药卫生—肿瘤]