大家健康（中旬版）
大傢健康（中旬版）
대가건강（중순판）
GOOD HEALTH FOR ALL
2013年
12期
171-171
,共1页
手术入路%颞叶内侧胶质瘤%手术效果
手術入路%顳葉內側膠質瘤%手術效果
수술입로%섭협내측효질류%수술효과
Surgical approach%Medial temporal lobe glioma%Surgery
目的：对切除颞叶内侧胶质瘤时所采取不同的入路手术效果进行观察并讨论。方法：选取100例颞叶内侧胶质瘤患者，对其所采取的不同入路手术效果进行分析。手术入路有三种选择：经外侧裂入路、经颞叶入路以及颞下入路。并将其设定为A组40例病患、B组33例病患、C组27例病患。结果：A组中有22例肿瘤全切除，10例近全切除，8例属于大部分切除，并有1例属于术后原视觉发生障碍加重。B组中有21例为肿瘤全切除，8例肿瘤近全切除，6例属于大部分切除，其中术后原视觉障碍加重有7例，并有新发视觉障碍5例。C组中则有19例为肿瘤全切除，8例近全切除，术后无视觉障碍加重病例产生。结论：经观察结果可知，侧方经颞上回、中回入路可能对脑组织及视放射产生损伤，而外侧裂和颞下入路对脑组织及视放射的损伤则相对较小。
目的：對切除顳葉內側膠質瘤時所採取不同的入路手術效果進行觀察併討論。方法：選取100例顳葉內側膠質瘤患者，對其所採取的不同入路手術效果進行分析。手術入路有三種選擇：經外側裂入路、經顳葉入路以及顳下入路。併將其設定為A組40例病患、B組33例病患、C組27例病患。結果：A組中有22例腫瘤全切除，10例近全切除，8例屬于大部分切除，併有1例屬于術後原視覺髮生障礙加重。B組中有21例為腫瘤全切除，8例腫瘤近全切除，6例屬于大部分切除，其中術後原視覺障礙加重有7例，併有新髮視覺障礙5例。C組中則有19例為腫瘤全切除，8例近全切除，術後無視覺障礙加重病例產生。結論：經觀察結果可知，側方經顳上迴、中迴入路可能對腦組織及視放射產生損傷，而外側裂和顳下入路對腦組織及視放射的損傷則相對較小。
목적：대절제섭협내측효질류시소채취불동적입로수술효과진행관찰병토론。방법：선취100례섭협내측효질류환자，대기소채취적불동입로수술효과진행분석。수술입로유삼충선택：경외측렬입로、경섭협입로이급섭하입로。병장기설정위A조40례병환、B조33례병환、C조27례병환。결과：A조중유22례종류전절제，10례근전절제，8례속우대부분절제，병유1례속우술후원시각발생장애가중。B조중유21례위종류전절제，8례종류근전절제，6례속우대부분절제，기중술후원시각장애가중유7례，병유신발시각장애5례。C조중칙유19례위종류전절제，8례근전절제，술후무시각장애가중병례산생。결론：경관찰결과가지，측방경섭상회、중회입로가능대뇌조직급시방사산생손상，이외측렬화섭하입로대뇌조직급시방사적손상칙상대교소。
Objective:For glioma resection of the medial temporal lobe when to take a dif erent approach to observe the ef ect of surgery and discussed.Methods:100 cases of medial temporal lobe glioma patients,their dif erent approaches taken by the surgical results were analyzed.Surgical approach,there are three options:The lateral fissure approach,the temporal lobe into the road and infratemporal.And set it to 40 cases of patients in group A,B group,33 cases of patients,C group 27 cases of patients.Results:In group A,22 cases of tumor resection,10 cases of near total resection,eight cases belong subtotal,and one case of postoperative belong to the original vision disorder worse.In group B,there were 21 cases of tumor resection,eight cases of near-total resection of the tumor,six cases are mostly removed,after which the original visual impairments increased in 7 cases,and five cases of new-onset visual impairments.In group C,there are 19 cases of tumor resection,eight cases of near total resection,postoperative visual disturbances aggravated cases produced.Conclusion:The observed results,side by superior temporal gyrus,gyrus approach may produce brain tissue and optic radiation damage,and lateral fissure and infratemporal and optic radiation on brain tissue damage is relatively smal .
