中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2009年
8期
836-838
,共3页
刘策刚%陶进%许安定%潘先文%邵雪非%朱明峰%徐宗华%江晓春
劉策剛%陶進%許安定%潘先文%邵雪非%硃明峰%徐宗華%江曉春
류책강%도진%허안정%반선문%소설비%주명봉%서종화%강효춘
脑肿瘤%第三脑室%侧脑室%经额胼胝体-透明膈入路%显微外科手术
腦腫瘤%第三腦室%側腦室%經額胼胝體-透明膈入路%顯微外科手術
뇌종류%제삼뇌실%측뇌실%경액변지체-투명격입로%현미외과수술
Brain tumors%Third ventricle%Lateral ventricle%Transcallosal interforniceal approach%Microneurosurgery
目的 探讨经额胼胝体-透明膈入路显微切除第三脑室并累及侧脑室肿瘤的临床疗效及优点.方法 选择皖南医学院弋矶山医院神经外科自2005年10月至2009年4月收治的第三脑室并累及侧脑室肿瘤患者12例.采用经额胼胝体-透明膈入路行显微切除手术.结果 肿瘤全切除4例,近全切除3例,大部分切除5例,无手术死亡患者.结论 该手术入路由生理间隙进入,显微镜下直视操作,术野暴露清晰且对周围结构损伤小,切除第三脑室及侧脑室内肿瘤较安全,并发症少.
目的 探討經額胼胝體-透明膈入路顯微切除第三腦室併纍及側腦室腫瘤的臨床療效及優點.方法 選擇皖南醫學院弋磯山醫院神經外科自2005年10月至2009年4月收治的第三腦室併纍及側腦室腫瘤患者12例.採用經額胼胝體-透明膈入路行顯微切除手術.結果 腫瘤全切除4例,近全切除3例,大部分切除5例,無手術死亡患者.結論 該手術入路由生理間隙進入,顯微鏡下直視操作,術野暴露清晰且對週圍結構損傷小,切除第三腦室及側腦室內腫瘤較安全,併髮癥少.
목적 탐토경액변지체-투명격입로현미절제제삼뇌실병루급측뇌실종류적림상료효급우점.방법 선택환남의학원익기산의원신경외과자2005년10월지2009년4월수치적제삼뇌실병루급측뇌실종류환자12례.채용경액변지체-투명격입로행현미절제수술.결과 종류전절제4례,근전절제3례,대부분절제5례,무수술사망환자.결론 해수술입로유생리간극진입,현미경하직시조작,술야폭로청석차대주위결구손상소,절제제삼뇌실급측뇌실내종류교안전,병발증소.
Obiective To evaluate the clinical efficacy of microsurgical resection of third ventricle tumors involving the lateral ventricle through the transcallosal interfomiceai approach. Methods From October 2005 to April 2009, 12 patients with third ventricle tumors involving the lateral ventricle received microsurgical resection of the tumors through the transcollasal interfomiceal approach. Results The tumors were totally removed in 4 cases, subtotally in 3 cases and partially in 5 cases without any fatal consequences. Conclusion This approach is safe and effective for removing third ventricle tumors involving the lateral ventricle by accessing the tumor through the anatomical space in the brain, and allows clear exposure of the operative field and causes minimal invasiveness of the surrounding structure with reduced complications.