外侧裂岛叶星形细胞瘤显微外科治疗30例分析  

Clinical analysis of microneurosurgical treatment for 30 cases of astrocytoma in lateral fissure and insular lobe region

作　　者：高晨[1] 荔志云[2] 田立庄[2] 王洪运[1] 刘玉虎[1] 王向阳[1] 

机构地区：[1]兰州军区兰州总医院安宁分院脑外科,甘肃兰州730070 [2]兰州军区兰州总医院神经外科,甘肃兰州730030

出　　处：《海南医学》2012年第20期66-68,共3页Hainan Medical Journal

摘　　要：目的探讨外侧裂岛叶星形细胞瘤的显微手术治疗方法。方法 30例外侧裂岛叶星形细胞瘤患者选择个体化的显微手术入路。术后行放疗和/或化疗。平均随访24个月,依据术后MRI评价治疗结果。结果 30例患者,肿瘤于镜下全切除20例、次全切除6例、部分切除4例;4例患者在随访两年内死亡,最短生存期为5个月,其余患者在随访期内均无严重新发并发症及复发情况。结论对于外侧裂岛叶星形细胞瘤,依据MRI表现,应用显微手术,选择个体化的手术进路,可取得较好的治疗效果。Objective To evaluate the microneurosurgical treatment of intracranial astrocytoma in lateral fis- sure and insular lobe region. Methods Thirty patients with intracranial astrocytoma were treated with microneuro- surgical operation using individual operative approach, with individual radiotherapy and （or） chemotherapy after oper- ation. The patients were followed up for an average of 24 months. The clinical efficacy was evaluated based on cranial MRI after operation. Results Of the 30 patients, 20 were totally reseeted, 6 were subtotally resected, and 4 were par- tially resected. During the follow-up, 4 patients died because of tumor recurrence. The shortest duration of survival was 5 months. There was no recurrence and severe new complications in other patients. Conclusion For treating in- tracranial astrocytoma, it can achieve better clinical efficacy to apply individual mieroneurosurgical approach accord- ing to MRI images.

关 键 词：外侧裂 岛叶 星形细胞瘤 显微神经外科手术 

分 类 号：R730.264[医药卫生—肿瘤]