CAJ | 학술논문

目的：探讨经胼胝体侧脑室脉络膜裂入路切除内侧型及外侧型丘脑胶质瘤的手术效果。方法：采用经胼胝体侧脑室脉络膜裂入路切除11例丘脑胶质瘤。在肿瘤一侧额叶开颅，经纵裂切开胼胝体体部，进入侧脑室，4例在脉络膜裂内侧纵形进入第三脑室，切除突出于第三脑室的丘脑肿瘤；7例在脉络膜裂的外侧切除丘脑肿瘤。结果：7例（63.6%）肿瘤次全切除，4例（36.4%）大部分切除。围手术期瘤腔出血1例。随访结果，1例术后4个月原位复发死亡，1例1年后复发再次手术，其他9例随访6~12个月逐渐恢复正常生活。结论：经胼胝体侧脑室脉络膜裂入路利用脑自然间隙到达并切除内外侧型丘脑胶质瘤，手术暴露好，丘脑毗邻结构损伤少，取得较为理想的手术效果。
목적：탐토경변지체측뇌실맥락막렬입로절제내측형급외측형구뇌효질류적수술효과。방법：채용경변지체측뇌실맥락막렬입로절제11례구뇌효질류。재종류일측액협개로，경종렬절개변지체체부，진입측뇌실，4례재맥락막렬내측종형진입제삼뇌실，절제돌출우제삼뇌실적구뇌종류；7례재맥락막렬적외측절제구뇌종류。결과：7례（63.6%）종류차전절제，4례（36.4%）대부분절제。위수술기류강출혈1례。수방결과，1례술후4개월원위복발사망，1례1년후복발재차수술，기타9례수방6~12개월축점회복정상생활。결론：경변지체측뇌실맥락막렬입로이용뇌자연간극도체병절제내외측형구뇌효질류，수술폭로호，구뇌비린결구손상소，취득교위이상적수술효과。
Objective:To investigate the effect of resection of thalamic gliomas via transcallosal-ventricular-choroidal approach.Method:11 cases of thalamic gliomas were given surgical treatment via transcallosal-ventricular-choroidal approach.They were treated with frontal craniotomy in the tumor side and got into the lateral ventricle with longitudinal incision through the corpus callosum body.4 cases of thalamic tumors were removed through the medial choroidal fissure into the third ventricle,while the other 7 cases through the lateral choroidal fissure.Result:Subtotal resection was performed in 7 cases(63.6%)and partial resection in 4 cases(36.4%).Hematoma formed in the residual cavity of one of the tumors during perioperative period.l case died in four months because of local recurrence and 1 case needed reoperation in one year.The other 9 cases achieved satisfactory postoperative effects and lived in good neurological condition.Conclusion:Via transcallosal-ventricular-choroidal approach using brain natural gap to reach and remove the internal and external side of thalamic gliomas,good surgical exposure,less damage to adjacent structures of thalamus,the operation effect is very ideal.