CAJ | 학술논문

目的总结危险功能区胶质瘤手术的基本策略和操作方法.方法回顾性分析67例大脑危险功能区胶质瘤手术的临床资料.结果 31例丘脑胶质瘤、20例脑干胶质瘤、9例松果体区胶质瘤和7例鞍区胶质瘤中,切除肿瘤的手术操作时间平均为1.16h,术后复查MRI T1加权增强扫描显示全切除61例(91％),次全切除6例(9％),术后平均KPS评分大于70分,所有患者均未出现新增的永久性神经功能障碍.结论在危险功能区胶质瘤手术中遵循“雕刻式”手术策略和膜性结构理念,可以达到最大范围安全切除肿瘤,获得良好手术效果.
목적 총결위험공능구효질류수술적기본책략화조작방법.방법 회고성분석67례대뇌위험공능구효질류수술적림상자료.결과 31례구뇌효질류、20례뇌간효질류、9례송과체구효질류화7례안구효질류중,절제종류적수술조작시간평균위1.16h,술후복사MRI T1가권증강소묘현시전절제61례(91％),차전절제6례(9％),술후평균KPS평분대우70분,소유환자균미출현신증적영구성신경공능장애.결론 재위험공능구효질류수술중준순“조각식”수술책략화막성결구이념,가이체도최대범위안전절제종류,획득량호수술효과.
Objective To summarize the basic strategies and methods of neurosurgery on glioma in danger functional area.Methods The clinical data of 67 cases of brain glioma surgery in danger functionl area was retrospective analyzed.Results Which of 31 patients with thalamic glioma,20 cases of brain stem glioma,9 cases of gliomas in pineal region and 7 cases of glioma in saddle area were reviewd.The surgery time of resection the tumor is averaged 1.16 hours.Total resection through postoperative review MRI T1-weighted enhancement scanning is showed in 61 cases (91％),subtotal resection in 6 cases (9％),postoperative review in postoperative KPS score is greater than an average of 70 points,all the patients were not present new permanent nerve dysfunction.Conclusions Following "topographic anatomy" operation concept,strategy and membranous structure in the functional area,glioma surgery could achieve maximum safe removal of the tumor,and obtain good operation effect.