显微外科手术治疗侧裂区胶质瘤的效果观察  

Microsurgery of the gliomas located in lateral fissure area

作　　者：买正军[1] 马小琴[2] 徐军[1] 杜磊[1] 张斌[1] 夏玉成[1] 孙涛[1] 

机构地区：[1]宁夏医科大学总医院心脑血管病医院神经外科,宁夏银川750002 [2]宁夏银川市第一人民医院耳鼻喉科,宁夏银川750001

出　　处：《宁夏医学杂志》2016年第12期1168-1169,共2页Ningxia Medical Journal

基　　金：宁夏自然科学基金资助项目(NZ10124)

摘　　要：目的探讨外侧裂区胶质瘤的显微手术方法。方法回顾性分析43例外侧裂区胶质瘤患者临床资料。43例胶质瘤病例中,全切肿瘤31例,次全切除8例,大部切除4例。结果术后出现脑血管痉挛3例,重度脑水肿2例,失语1例,癫痫3例,大面积脑梗死1例,经对症处理后症状均改善,其余患者术后恢复良好。病理证实星形细胞瘤I级1例,星形细胞瘤Ⅱ级25例,间变型星形细胞瘤9例,胶质母细胞瘤6例,少突胶质瘤细胞瘤2例。结论经外侧裂显微手术切除胶质瘤可显著提高肿瘤近全切率,手术的关键是对于侧裂区解剖的熟悉。Objective To investigate microsurgical techniques of the gliomas located in lateral fissure area.： Method Retrospec- tive analysis of clinical data of 43 patients with gliomas in the lateral fissure area. Of 43 cases of tumors,31 were totally removed,8 subto- tally ,4 partially. Results Postoperative cerebral vasospasm in 3 cases, severe brain edema in 2 cases, aphasia in 1 case,3 cases of epilep- sy, a large area cerebral infarction in 1 case. Symptoms have improved after symptomatic treatment. The patient recovered well after sur- gery. Postoperative pathological results revealed that astrocytoma grade Ⅰ in 1 case, astrocytoma grade Ⅱ in 25 cases, anaplastic astrocyto- ma in 9 cases, glioblastoma in 6 cases, and oligodendroglima in 2 cases. Conclusions Microsurgical resection of glioma can significantly improve the resection rate of the tumor. The key of the operation is to be familiar with the anatomy of the lateral fissure area.

关 键 词：神经胶质瘤 外侧裂 显微外科手术 

分 类 号：R739.41[医药卫生—肿瘤]