CAJ | 학술논문

目的探讨经侧裂显微手术切除岛叶区胶质瘤的方法,评价其疗效.方法回顾性分析19例岛叶区胶质瘤显微手术治疗情况,总结治疗经验.结果 19例胶质瘤患者中,镜下近全切并经术后影像学检查证实17例,大部切除2例.术后2例轻偏瘫,1例短暂性失语.随访3-19个月,除1例肿瘤复发外,余未见复发及明显神经功能障碍.结论追求显微手术全切肿瘤是岛叶区胶质瘤治疗的首选方法.恰当的手术入路,对周围重要结构的精确辨认和保护以及术后放、化疗的合理应用是提高疗效的关键.
목적 탐토경측렬현미수술절제도협구효질류적방법,평개기료효.방법 회고성분석19례도협구효질류현미수술치료정황,총결치료경험.결과 19례효질류환자중,경하근전절병경술후영상학검사증실17례,대부절제2례.술후2례경편탄,1례단잠성실어.수방3-19개월,제1례종류복발외,여미견복발급명현신경공능장애.결론 추구현미수술전절종류시도협구효질류치료적수선방법.흡당적수술입로,대주위중요결구적정학변인화보호이급술후방、화료적합리응용시제고료효적관건.
Objective To discuss the approach through lateral cleft to removal glioma on insular lobe and to evaluate its therapeutic outcome.Methods Retrospective analysis was adopted to evaluate 19cases that underwent microsurgery on insular lobe glioma patients,and therapeutic experience was summarized.Results Among 19 patients,13 total excision、4 subtotal excision and 2 Partial excision under microscope were confirmed through imaging technique postoperatively.There were 2 mild hemiparalysis and1 transient aphasia after operation.During the 3-19 months follow-up,no more recurrence or conspicuous neurological dysfunction except 1 recidivation.Conclusion Microsurgical total excision is the first choice to treat insular lobe glioma.Appropriate approach、precise identify and protect of vicinal important structures、pertinent radiotherapy and chemotherapy postoperatively are all key points to improve the therapeutic efficacy.