本文選題：側(cè)腦室三角區(qū)　切入點(diǎn)：腦腫瘤　出處：《國際神經(jīng)病學(xué)神經(jīng)外科學(xué)雜志》2017年04期 　論文類型：期刊論文

【摘要】：目的探討不同手術(shù)入路顯微鏡下行側(cè)腦室三角區(qū)腫瘤的手術(shù)治療方法。方法對(duì)47例腫瘤位于側(cè)腦室三角區(qū)并經(jīng)顯微手術(shù)治療的患者相關(guān)資料進(jìn)行回顧性分析,詳細(xì)分析不同手術(shù)入路及術(shù)中操作技巧。結(jié)果 42例患者顱內(nèi)腫瘤顯微鏡下全切,5例因腫瘤較大、界限不清部分切除,其中,2例膠質(zhì)瘤和1例星型母細(xì)胞瘤部分切除+去骨瓣減壓術(shù),1例間變性室管膜瘤因腫瘤生長(zhǎng)至對(duì)側(cè),部分切除術(shù)后復(fù)發(fā);1例膠質(zhì)肉瘤,出現(xiàn)遲發(fā)性術(shù)區(qū)出血,急診行手術(shù)清除術(shù)區(qū)腦內(nèi)血腫,第二天死亡。1例同側(cè)術(shù)后出現(xiàn)硬膜外血腫,血腫量不多,未再次手術(shù),經(jīng)積極治療逐漸吸收。5例患者術(shù)后合并顱內(nèi)感染,行腰大池腦脊液持續(xù)引流,感染痊愈,預(yù)后良好。出院時(shí)GOS評(píng)分:39例預(yù)后評(píng)分5分,4例預(yù)后評(píng)分4分,1例評(píng)分3分,1例預(yù)后評(píng)分2分,2例評(píng)分1分。結(jié)論對(duì)于不同類型、不同生長(zhǎng)方向的側(cè)腦室三角區(qū)腫瘤,在影像導(dǎo)航系統(tǒng)指引下,選擇合適的手術(shù)入路、不斷提高手術(shù)技巧,可明顯減少患者的功能損傷及手術(shù)并發(fā)癥的出現(xiàn),改善患者的預(yù)后。
[Abstract]:Objective to investigate the surgical treatment of lateral ventricular trigonometry tumors under different surgical approaches. Methods 47 patients with tumors located in the lateral ventricular trigonometry and treated by microsurgery were retrospectively analyzed. Results Total resection of intracranial tumors was performed in 5 cases under microscope because of large tumor size, and partial resection was not clear. Among them, 2 cases of glioma and 1 case of partial excision of astroblastoma, 1 case of anaplastic ependymoma grew to the opposite side because of tumor, and 1 case of gliosarcoma recurred after partial resection. The intracerebral hematoma was removed in the emergency operation area. On the second day, 1 cases died of epidural hematoma after ipsilateral operation. The amount of hematoma was not large, and the hematoma was not re-operated. After active treatment, 5 cases of postoperative intracranial infection were gradually absorbed. The infection was cured with continuous cerebrospinal fluid drainage from the cistern of the lumbar cistern, and the infection was cured and the prognosis was good. At discharge, the GOS score of 39 cases, the prognosis score of 4 cases, the prognosis score of 4 cases, the prognosis score of 4 cases, the prognosis score of 1 case, the prognosis score of 1 case, the score of 2 cases, the score of 2 cases, the score of 2 cases, the score of 2 cases. Under the guidance of image navigation system, the different growth direction of lateral ventricular trigonometry tumor, select the appropriate surgical approach, and improve the surgical skills, can significantly reduce the occurrence of functional injury and surgical complications, and improve the prognosis of patients.
【作者單位】： 安徽醫(yī)科大學(xué)附屬省立醫(yī)院神經(jīng)外科腦功能與腦疾病省重點(diǎn)實(shí)驗(yàn)室;阜陽市第五人民醫(yī)院神經(jīng)外科;
【基金】：腦功能與腦疾病安徽省重點(diǎn)實(shí)驗(yàn)室績(jī)效考核補(bǔ)助項(xiàng)目,編號(hào):1506c085017,1606c08235
【分類號(hào)】：R739.41

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