原发性脑室内肿瘤的临床特点与治疗  

Clinical features and treatment of primary intraventricular tumors (report of 14 cases)

作　　者：吕健[1] 宋千[1] 权瑜[1] 巩守平[1] 周任[1] 

机构地区：[1]西安交通大学医学院第二附属医院神经外科,西安710004

出　　处：《中国临床神经外科杂志》2012年第9期520-522,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨原发性脑室内肿瘤的临床特点和治疗。方法回顾性分析14例原发性脑室内肿瘤的临床表现、心电图和影像学特点及手术情况。结果室管膜瘤9例,脑膜瘤3例,室管膜下巨细胞星形细胞瘤1例,胶样囊肿1例。全切除8例,次全切除4例,大部分切除2例。围手术期死亡2例,术后恢复良好12例。3例失随访,余9例随访2月至4年,平均随访23.125个月,2例室管膜瘤复发,其中1例死亡,其余7例预后良好。结论原发性脑室内肿瘤缺乏特征性的临床表现,应重视患者的主观症状,避免漏诊;原发性脑室内肿瘤患者心电图异常率高,应引起重视;显微手术是治疗原发性脑室内肿瘤的首选方法。Objective To explore clinical features and microsurgical management of primary intraventricular tumors （PIVT）. Methods The clinical data of 14 patients with PIVT who underwent microsurgery were analyzed retrospectively, including clinical manifestations, electrocardiographic change imaging characteristics and operative data. Results Of 14 patients with PIVT, 9 suffered from ependymomas, 3 from meningiomas, 1 from subependymal giant cell astrocytoma and 1 from colloid cyst. Total resection of PIVT was achieved in 8 patients, subtotal resection in 4 and partial resection in 2. Of 14 patients with PIVT, 2 died after surgery and 12 were recovered well after the operation. Of 9 patients followed up for 2 months to 4 years （mean, 23.125 months）, 2 suffered from recurred ependymomas and 7 returned to normal living. One of 2 patients with recurrent ependymomas died 6 months after the surgery. Conclusions There were not characteristic clinical manifestations in the patients with PIVT and their subjective symptoms should be paid attention to. The abnormal electrocardiographic changes are common in the patients with PIVIT. Microsurgical resection should be firstly selected in the patients with PIVT.

关 键 词：脑室内肿瘤 诊断 显微外科 

分 类 号：R739.41[医药卫生—肿瘤]