幕上脑实质囊性变室管膜瘤的诊治分析  

Diagnosis and treatment of supratentorial brain parenchymal cystic ependymomas

作　　者：霍生杰 李浩[1] 徐松[1] 刘金道[1] 李娟[1] Huo Shengjie;Li Hao;Xu Song;Liu Jindao;Li Juan(Department of Neurosurgery,Second Affiliated Hospital,Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712000,China;Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712046)

机构地区：[1]陕西中医药大学第二附属医院神经外科

出　　处：《中国微侵袭神经外科杂志》2019年第10期437-439,共3页Chinese Journal of Minimally Invasive Neurosurgery

基　　金：陕西省重点研发计划项目（编号：607043938047)

摘　　要：目的探讨幕上脑实质囊性变室管膜瘤的临床治疗和预后特点。方法回顾性分析18例经病理证实的幕上脑实质囊性变室管膜瘤病人的临床资料,均行显微镜下手术切除肿瘤。结果手术全切肿瘤14例,次全切除4例。病理类型均为室管膜瘤,WHOⅠ和Ⅱ级13例,WHOⅢ级5例。术后遗留神经功能损伤4例,术区出血2例,颅内感染1例,癫疒间1例。随访18例,时间3个月~10年,复发3例,其中再次手术1例,放弃治疗后死亡2例。结论幕上脑实质囊性变室管膜瘤重在鉴别诊断,手术的切除程度对预后至关重要。Objective To explore the clinical treatment and prognosis characteristics of supratentorial brain parenchymal cystic ependymomas(SBPCE).Methods Clinical data of 18 patients with SBPCE confirmed by pathology were analyzed retrospectively.The tumors were removed by microsurgery.Results Total tumor removal was achieved in 14 patients and subtotal removal in 4.The pathological diagnosis was ependymoma in 14 patients including WHO gradeⅠandⅡof 13 and WHO gradeⅢof 5.There were postoperative neurological damage in 4 patients,hemorrhage in the field of operation in 2,intracranial infection in 1 and epilepsy in 1.All the patients were followed up for 3 months to 10 years,relapse occurred in 3 patients,of whom second surgery was performed in 1 and died in 2 after abandoning treatment.Conclusion The differential diagnosis of SBPCE is important,and the degree of surgical removal is critical to the prognosis.

关 键 词：室管膜瘤 幕上 脑实质 囊性变 显微外科手术 鉴别诊断 

分 类 号：R739.41[医药卫生—肿瘤] R651.11[医药卫生—临床医学]