中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2010年
11期
756-759
,共4页
颅内肿瘤%室管膜下瘤%显微外科手术
顱內腫瘤%室管膜下瘤%顯微外科手術
로내종류%실관막하류%현미외과수술
Intracranial tumor%Subepondymoma%Microsurgery
目的 研究颅内室管膜下瘤的临床特点、影像学特点及治疗. 方法 回顾性分析了北京天坛医院1996至2008年手术后经病理证实的22例颅内室管膜下瘤的临床特点、影像学表现、手术方法和预后.患者年龄5～54岁,男:女为13:9例.肿瘤位于侧脑室14例,位于第四脑室2例,位于额顶叶1例,脑干2例,桥小脑角1例,小脑1例,跨幕上下1例. 结果 全部病例经手术切除,全切除18例(幕上肿瘤15例和幕下肿瘤3例),部分切除4例(幕上下肿瘤1例和幕下肿瘤3例).病理类型包括单纯室管膜下瘤19例和混合性室管膜下瘤3例.随访肿瘤复发1例. 结论 颅内室管膜下瘤为一种罕见的良性颅内肿瘤,显微外科手术是主要治疗方法.肿瘤位于幕上者易获得完全切除;位于幕下者因边界不清、与周围重要结构粘连而常难以获得全切除.患者预后良好,肿瘤复发率低.
目的 研究顱內室管膜下瘤的臨床特點、影像學特點及治療. 方法 迴顧性分析瞭北京天罈醫院1996至2008年手術後經病理證實的22例顱內室管膜下瘤的臨床特點、影像學錶現、手術方法和預後.患者年齡5～54歲,男:女為13:9例.腫瘤位于側腦室14例,位于第四腦室2例,位于額頂葉1例,腦榦2例,橋小腦角1例,小腦1例,跨幕上下1例. 結果 全部病例經手術切除,全切除18例(幕上腫瘤15例和幕下腫瘤3例),部分切除4例(幕上下腫瘤1例和幕下腫瘤3例).病理類型包括單純室管膜下瘤19例和混閤性室管膜下瘤3例.隨訪腫瘤複髮1例. 結論 顱內室管膜下瘤為一種罕見的良性顱內腫瘤,顯微外科手術是主要治療方法.腫瘤位于幕上者易穫得完全切除;位于幕下者因邊界不清、與週圍重要結構粘連而常難以穫得全切除.患者預後良好,腫瘤複髮率低.
목적 연구로내실관막하류적림상특점、영상학특점급치료. 방법 회고성분석료북경천단의원1996지2008년수술후경병리증실적22례로내실관막하류적림상특점、영상학표현、수술방법화예후.환자년령5～54세,남:녀위13:9례.종류위우측뇌실14례,위우제사뇌실2례,위우액정협1례,뇌간2례,교소뇌각1례,소뇌1례,과막상하1례. 결과 전부병례경수술절제,전절제18례(막상종류15례화막하종류3례),부분절제4례(막상하종류1례화막하종류3례).병리류형포괄단순실관막하류19례화혼합성실관막하류3례.수방종류복발1례. 결론 로내실관막하류위일충한견적량성로내종류,현미외과수술시주요치료방법.종류위우막상자역획득완전절제;위우막하자인변계불청、여주위중요결구점련이상난이획득전절제.환자예후량호,종류복발솔저.
Objective To study the clinical features, neuro-radiology and treatment of intracranial subepondymomas. Methods A total of 22 subependymomas were reviewed with regards to clinical presentation, neuro-imaging features, treatment, histopathological features and long-term follow-up. There were 13 males and 9 females with an age range of 5 to 54 years old. Fourteen tumors were located in lateral ventricles, 1 located on frontal-parietal lobe, 1 on mesencephalon, 2 on ports, 2 in fourth ventricle and 1 on cerebellum. One tumor was located in temporal lobe, mesencephalon, thalamus and pons. Results All tumors were surgically removed, including 18 totally removed (including 14 supra-tentorial and 4 infra-tentorial tumors) and 4 partially removed(including 1 supra- and infra-tentorial and 3 infra-tentorial tumors). During the follow-up, there was 1 recurrent case. Conclusion Intracranial subepondymoma is a rare benign tumor. And microsurgery represents the most effective therapy. Total resection can be expected for supra-tentorial tumors, but partial resection is often performed for infra-tentorial tumors. The prognosis is excellent and there is a rare tumor recurrence.
