脑室肿瘤术后并发孤立性颞角的因素分析及治疗策略  

Factor analysis and treatment strategy of entrapped temporal horn after resection of lateral ventricle tumor

作　　者：骆慧[1] 林超[1] 孙毅 曹纹平 李瑞[1] LUO Hui;LIN Chao;SUN Yi;CAO Wenping;LI Rui(Department of Neurosurgery,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院神经外科,江苏南京210029

出　　处：《中国肿瘤外科杂志》2023年第1期66-70,共5页Chinese Journal of Surgical Oncology

摘　　要：目的探讨侧脑室肿瘤术后发生孤立性颞角的相关危险因素。方法回顾性分析南京医科大学第一附属医院2017年1月至2020年12月收治的30例侧脑室肿瘤的临床资料、手术方式、术后并发症及预后情况。结果30例侧脑室肿瘤均行手术治疗。术后5例出现孤立性颞角,其中2例经保守治疗后孤立性颞角消失,2例行脑室外引流治疗后痊愈,1例保守治疗无效后行脑室镜造瘘术治疗失败,后行颞角腹腔分流术,术后患者症状缓解。统计学分析显示肿瘤大小,部位和术后感染是引起侧脑室肿瘤术后发生孤立颞角的相关危险因素(P<0.05)。而患者年龄、性别、大小;以及肿瘤性质、侧别、瘤周水肿程度等与孤立性颞角的发生无明显相关(P>0.05)。结论脑室外引流可以作为治疗侧脑室肿瘤术后并发孤立性颞角的治疗手段之一。降低术后颅内感染的发生率可在一定程度上预防孤立性颞角的发生。Objective To investigate risk factors of entrapped temporal horn(ETH)after lateral ventricle tumor surgery.Methods The clinical data,surgical methods,postoperative complications and prognosis of 30 cases with lateral ventricle tumor admitted to the First Affiliated Hospital of Nanjing Medical University from January 2017 to December 2020 were retrospectively analyzed.Results All the cases of lateral ventricle tumor were treated by operation.Twenty-five cases were total resection and 5 cases were subtotal resection.EHT appeared in 5 cases after surgery,among which 2 cases disappeared after conservative treatment,2 cases was cured after external ventricular drainage treatment,and 1 case failed to receive ventriculostomy after conservative treatment whose symptoms relieved after the temporal horn peritoneal shunt.Univariate analysis showed that tumor size,location and postoperative infection were risk factors for ETH after lateral ventricle tumor surgery(P<0.05).The age and sex of patients,as well as characteristics side and peritumoral edema of the tumor showed no significant impact on the incidence of ETH(P>0.05).Conclusions External ventricular drainage can be used for the treatment of ETH after the operation of lateral ventricle tumor.Reducing the incidence of postoperative intracranial infection is beneficial to prevent the occurrence of ETH to a certain extent.

关 键 词：孤立性颞角 侧脑室肿瘤 危险因素 脑膜炎 

分 类 号：R739.41[医药卫生—肿瘤]