岛叶胶质瘤的外科治疗策略的研究进展  

Advances in surgical treatment strategies for insular gliomas

作　　者：杨辉[1] 崔萌[1] 张猛[1] 马晓东[1] YANG Hui;CUI Meng;ZHANG Meng;MA Xiao-dong(Department of Neurosurgery,The First Medical Center of PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心神经外科医学部神经外科,北京100853

出　　处：《中国临床神经外科杂志》2024年第2期115-118,122,共5页Chinese Journal of Clinical Neurosurgery

摘　　要：岛叶位于外侧沟底,借其周围的环状沟与额、颞、顶叶分界。岛叶的尖部称岛阈,藏于大脑外侧沟深部的脑叶被顶、额、颞叶覆盖,其深面分别为最外囊、屏状核、壳核、外囊、内囊前后肢等,是胶质瘤的好发部位之一。由于位置深在、毗邻重要功能区和血管,而且术中难以准确判断边界,因此,岛叶胶质瘤的手术治疗难度大。Yasargil于1992年首次报道边缘系统和旁边缘系统肿瘤的手术治疗,开启了岛叶肿瘤手术治疗的新篇章。近年来,随着术中辅助技术的进步,岛叶胶质瘤外科治疗的可行性和安全性取得了较大的提升。本文就岛叶胶质瘤的外科治疗手段、术中辅助技术研究进展进行综述,为临床提供参考。Insular lobe is located at the bottom of the lateral sulcus,and is separated from the frontal,temporal,and parietal lobes by the annular sulcus around it.The tip of the insula is called the insular threshold.The lobe hidden in the deep of the lateral sulcus of the brain is covered by the parietal,frontal,and temporal lobes,and its deep surface is respectively the most outer capsule,the parietal nucleus,the putamen,the outer capsule,and the anterior and posterior limbs of the inner capsule,which is one of the most common sites of gliomas.Because of its deep location,adjacent to important functional areas and blood vessels,and the difficulty in accurately judging the boundary during surgery,the surgical treatment of insular gliomas is difficult.Yasargil first reported the surgical treatment of limbic system and paralimbic system tumors in 1992,starting a new chapter in the surgical treatment of insular tumors.In recent years,with the progress of intraoperative assisted techniques,the feasibility and safety of surgical treatment of insular gliomas have been greatly improved.This article reviewed the research progress of surgical treatment and intraoperative assisted techniques of insular gliomas,providing reference for clinical practice.

关 键 词：岛叶胶质母 显微手术 手术入路 术中辅助技术 

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