中华显微外科杂志
中華顯微外科雜誌
중화현미외과잡지
Chinese Journal of Microsurgery
2010年
1期
31-33
,共3页
徐庚%赵瑞林%许亮%徐建堃%单永志%杜建新
徐庚%趙瑞林%許亮%徐建堃%單永誌%杜建新
서경%조서림%허량%서건곤%단영지%두건신
胶质母细胞瘤%侧裂岛盖入路%语言运动区%显微外科手术
膠質母細胞瘤%側裂島蓋入路%語言運動區%顯微外科手術
효질모세포류%측렬도개입로%어언운동구%현미외과수술
Gliobiastoma%Transsylvian-opercnlarapproach%Cortex of language area%Microaurgical operation
目的 寻找出语言运动区胶质母细胞瘤的较为理想手术入路.方法 回顾分析2005年1月至2007年12月收治的27例语言运动区胶质母细胞瘤采用侧裂岛盖入路手术的显微外科手术治疗效果.结果 在这27例病例中,21例肿瘤未突破岛盖皮层,切开岛盖皮层后肿瘤于手术显微镜下全切除,6例肿瘤突破岛盖皮层,包绕大脑中动脉,3例肿瘤于镜下全切除,3例肿瘤有部分残留.术后26例的神经系统的症状消失或好转,1例患者神经功能损害加重.结论 侧裂岛盖入路切除语言运动区胶质母细胞瘤是既能达到最大限度地切除肿瘤也能良好地保护神经功能的较为理想的手术入路.
目的 尋找齣語言運動區膠質母細胞瘤的較為理想手術入路.方法 迴顧分析2005年1月至2007年12月收治的27例語言運動區膠質母細胞瘤採用側裂島蓋入路手術的顯微外科手術治療效果.結果 在這27例病例中,21例腫瘤未突破島蓋皮層,切開島蓋皮層後腫瘤于手術顯微鏡下全切除,6例腫瘤突破島蓋皮層,包繞大腦中動脈,3例腫瘤于鏡下全切除,3例腫瘤有部分殘留.術後26例的神經繫統的癥狀消失或好轉,1例患者神經功能損害加重.結論 側裂島蓋入路切除語言運動區膠質母細胞瘤是既能達到最大限度地切除腫瘤也能良好地保護神經功能的較為理想的手術入路.
목적 심조출어언운동구효질모세포류적교위이상수술입로.방법 회고분석2005년1월지2007년12월수치적27례어언운동구효질모세포류채용측렬도개입로수술적현미외과수술치료효과.결과 재저27례병례중,21례종류미돌파도개피층,절개도개피층후종류우수술현미경하전절제,6례종류돌파도개피층,포요대뇌중동맥,3례종류우경하전절제,3례종류유부분잔류.술후26례적신경계통적증상소실혹호전,1례환자신경공능손해가중.결론 측렬도개입로절제어언운동구효질모세포류시기능체도최대한도지절제종류야능량호지보호신경공능적교위이상적수술입로.
Objective To find out more optimal surgical approach for glioblastoma located in sensofimotor cortex and language area. Methods A respective review of 27 cases of glioblastomas located in sensorimotor and language area were operated, via the transsylvian-opercular approach, ineluding outcomes of microneurosurgery between January 2005 to December 2007. Results Among of 27 cases, tumors in 21 cases were covered by opereular cotex and were totally resected, tumors protruded into sylvian and wrapped around middle cerebral artery in 6 cases. 3 of them were totally removed, others were subtotally. Neurofunction of 26 cases were preserved of one were injuried. Conclusion Transsylvian-opercnlar approach for resection of glioblastomas located in subcortex of sensorimotor and language area is more optimal surgical approach, which not only ensure tumor resection with great degree, but preserve neurofunction well.
