28例侧脑室肿瘤显微手术切除临床分析  

Microsurgical resection of lateral ventricular tumors

作　　者：陈政刚[1] 杨堃[1] 王子珍[1] 黄秋虎[1] 马春阳[1] 唐建建[1] 周建[1] 叶富跃[1] 郑传宜[1] 吴然[1] 

机构地区：[1]海南医学院附属医院,海南海口570102

出　　处：《海南医学院学报》2012年第2期199-201,共3页Journal of Hainan Medical University

基　　金：中国高校医学期刊临床专项资金项目(11221007)~~

摘　　要：目的:探讨侧脑室肿瘤手术操作要点、术后管理及其疗效。方法:回顾性分析我院2004年1月～2011年5月显微手术治疗的28例侧脑室内肿瘤患者的临床资料。28例患者手术入路:经纵裂胼胝体前入路20例,经颞中回入路2例,经顶枕入路6例。结果:28例患者中低级别胶质瘤16例,脑膜瘤4例,脉络丛乳头状瘤2例,室管膜瘤4例,高级别胶质瘤2例。肿瘤全切24例,次全切4例。术后出现顽固性高钠血症1例,癫痫1例,缄默症1例,高热1例,无偏盲,肢体瘫痪,失语病例,无手术死亡率。20例随访3个月～3年,2例高级别胶质瘤患者死亡。结论:选择适当的手术入路,运用娴熟的显微操作技巧手术治疗侧脑室肿瘤,术后进行恰当的处理和细致的观察,可取得理想的预后。Objective： To discuss the key points of operative technique,post operation management,and effection of lateral ventricular tumors.Methods：From Jan 2004 to May 2011 a series of 28 patients with lateral ventricular tumor were operated.Clinical manifestation,radiological characteristics,surgical approach and results were retrospectively analysed.Results：In this study 28 patientys were enrolled,including 16 low grade gliomas,4 meningiomas,2 papilloma of choroid plexus,4 ependymoma,2 high grade gliomas.The total surgical resection was completed in 24 patients,and 4 patients were subtotal resected.20 patients were operated in transcallosal interhemispheric approach,2 in temporal approach,6 in transcortical parieto-occipital approach.Postoperation 1 was complicated with refractory hypernatremia,1 epilepsy,1 mutism,1 high fever,no hemianopia,aphasia,or paralysis,no death.Followed up In a period from 3 months to 3 years,2 patients died with high grade gliomas.Conclusion：It is possible to achieve a good surgical outcome with appropriate approach,proficient microsurgical technique,carefully observation and effective management.

关 键 词：侧脑室肿瘤 显微切除 手术入路 

分 类 号：R739.4[医药卫生—肿瘤] R730.5[医药卫生—临床医学]