经胼胝体-穹窿间入路显微切除第三脑室肿瘤  

Microsurgery of tumors in the third ventricle via transcallosal-interforniceal approach

作　　者：雷有恩 郑华平[2] 唐景峰[2] 

机构地区：[1]临桂县人民医院神经外科,广西桂林541100 [2]桂林医学院附属医院神经外科,广西桂林541001

出　　处：《华夏医学》2013年第4期771-774,共4页Acta Medicinae Sinica

摘　　要：目的:探讨经胼胝体-穹窿间入路显微手术切除第三脑室肿瘤的方法及疗效。方法:经胼胝体-穹窿间入路显微手术切除第三脑室肿瘤13例,分析其疗效。结果:全切除10例,次全切除3例,手术均成功。术后出现多尿、多饮、电解质紊乱7例,中枢性高热3例,嗜睡2例,缄默症3例,经处理后1～2周好转出院。结论:经胼胝体-穹窿间入路沿解剖间隙进入,肿瘤全切除率较高,术后并发症少。Objective： To explore the method and curative effect of transcallosal interforniceal ap-proach microsurgical operation resection of the third ventricle tumors. Methods： The transcallosal interforniceal approach in microsurgical operation resection of third ventricle tumors 13 cases, and analyze the effect. Results： Total resection was achieved in 10 cases, subtotal resection in 3 cases, operation was successful. Polyuria, polydipsia, electrolyte disturbance occurred in 7 cases after op-eration, 3 patients with central high fever, somnolence in 2 cases, 3 cases of transient mutism, af- ter treatment of 1-2 weeks to discharge. Conclusion： The transcallosal interforniceal approach a-long the anatomic space contributes to higher total tumor resection rate, less postoperative compli-cations.

关 键 词：肿瘤 第三脑室 胼胝体—穹隆 显微外科 

分 类 号：R739.91[医药卫生—肿瘤]