CAJ | 학술논문

目的探讨侧脑室内脑膜瘤的诊断和手术治疗方法,以提高对其的诊治水平.方法回顾性分析我院自2000年3月至2007年9月手术治疗的20例侧脑室内脑膜瘤患者临床资料,并复习相关文献.结果本组患者均行手术,肿瘤全切除19例,大部分切除1例.术后恢复良好19例,中度残疾1例,无手术死亡病例.13例患者随访4个月至6年,有2例患者肿瘤复发,其余患者头痛症状消失,无恶心呕吐,视力好转,失语及偏瘫症状有不同程度好转.结论侧脑室内脑膜瘤术前诊断依赖CT及磁共振成像检查,选择适合的手术入路,采用显微技术可以全切除肿瘤,保护神经功能完整.
목적 탐토측뇌실내뇌막류적진단화수술치료방법,이제고대기적진치수평.방법 회고성분석아원자2000년3월지2007년9월수술치료적20례측뇌실내뇌막류환자림상자료,병복습상관문헌.결과 본조환자균행수술,종류전절제19례,대부분절제1례.술후회복량호19례,중도잔질1례,무수술사망병례.13례환자수방4개월지6년,유2례환자종류복발,기여환자두통증상소실,무악심구토,시력호전,실어급편탄증상유불동정도호전.결론 측뇌실내뇌막류술전진단의뢰CT급자공진성상검사,선택괄합적수술입로,채용현미기술가이전절제종류,보호신경공능완정.
Objective To explore the method of detection, differentiation and surgical treatment of lateral ventricular meningioma to improve the diagnosis and treatment. Methods Twenty patients with lateral ventricular meningioma from March 2000 to September 2007 were analyzed retrospectively and the relative literature was re-viewed. Results All patients performed craniotomy. 19 had total removal of tumor and 1 had subtotal removal. 19 had good recovery and 1 was moderate disabled at discharge. No surgical related mortality oeeured. 13 patients had followed-up between 4 months to 6 years. 2 patients experienced tumor recurrence and others showed disappearance of headache, nausea and vomiting, improvement of muscle power, visual and linguistieal ability with different degrees. Conclusion Preoperative diagnosis of lateral ventricular meningioma depends on CT or MRI. Neurologic function can be well preserved after total removal of tumor via optimal approach with microsurgical technique.