中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2013年
3期
251-254
,共4页
桂松柏%白吉伟%于洮%贾文清%林松
桂鬆柏%白吉偉%于洮%賈文清%林鬆
계송백%백길위%우조%가문청%림송
丘脑胶质瘤%手术技术%成人
丘腦膠質瘤%手術技術%成人
구뇌효질류%수술기술%성인
Thalamic glioma%Surgical techniques%Adult
目的 明确如何根据单侧丘脑胶质瘤的解剖位置及生长方向指导手术入路的制定,并探讨相应手术技巧及辅助技术.方法 回顾性分析2004年1月至2012年6月于我院手术治疗的98例成人单侧丘脑胶质瘤病例资料.53例为低级别胶质瘤,45例为高级别胶质瘤.其中主体基本位于单侧丘脑的胶质瘤81例;主体位于单侧丘脑并向中脑生长的胶质瘤17例.全部病人均行手术切除.结果 肿瘤全切为62例(63%),次全切为26例(27%),大部切除为10例(10%).肿瘤切除术后短期症状明显改善61例(62%),症状无变化29例(30%),症状恶化6例(6%),死亡2例(2%).结论 对于单侧丘脑胶质瘤,选择适合的手术入路、正确的手术技巧,并使用相应术中辅助技术,多数病人能获得显微镜下手术全部切除或次全切除以及良好的手术质量.
目的 明確如何根據單側丘腦膠質瘤的解剖位置及生長方嚮指導手術入路的製定,併探討相應手術技巧及輔助技術.方法 迴顧性分析2004年1月至2012年6月于我院手術治療的98例成人單側丘腦膠質瘤病例資料.53例為低級彆膠質瘤,45例為高級彆膠質瘤.其中主體基本位于單側丘腦的膠質瘤81例;主體位于單側丘腦併嚮中腦生長的膠質瘤17例.全部病人均行手術切除.結果 腫瘤全切為62例(63%),次全切為26例(27%),大部切除為10例(10%).腫瘤切除術後短期癥狀明顯改善61例(62%),癥狀無變化29例(30%),癥狀噁化6例(6%),死亡2例(2%).結論 對于單側丘腦膠質瘤,選擇適閤的手術入路、正確的手術技巧,併使用相應術中輔助技術,多數病人能穫得顯微鏡下手術全部切除或次全切除以及良好的手術質量.
목적 명학여하근거단측구뇌효질류적해부위치급생장방향지도수술입로적제정,병탐토상응수술기교급보조기술.방법 회고성분석2004년1월지2012년6월우아원수술치료적98례성인단측구뇌효질류병례자료.53례위저급별효질류,45례위고급별효질류.기중주체기본위우단측구뇌적효질류81례;주체위우단측구뇌병향중뇌생장적효질류17례.전부병인균행수술절제.결과 종류전절위62례(63%),차전절위26례(27%),대부절제위10례(10%).종류절제술후단기증상명현개선61례(62%),증상무변화29례(30%),증상악화6례(6%),사망2례(2%).결론 대우단측구뇌효질류,선택괄합적수술입로、정학적수술기교,병사용상응술중보조기술,다수병인능획득현미경하수술전부절제혹차전절제이급량호적수술질량.
Objective The aims of this study were to determine how to choose the appropriate surgical approach based on the anatomical character of the thalamic gliomas and to investigate the corresponding surgical skill and assistive technology.Methods The records of 98 adult patients with thalamic tumor between 2004.1 and 2012.6 in our hospital were retrospectively reviewed.Of the 98 patients,53 had a low-grade tumor,and 45 had a high-grade tumor.Two groups of gliomas were analyzed separately:(1) unilateral thalamic gliomas (81 lesions); (2) thalamopeduncular gliomas (17 lesions).All the patients underwent tumor resection.Results Total resection of the tumor was achieved in 62 cases (63%),subtotal resection in 26 (27%) cases and most resection in 10 (10%) cases.Postoperative improvement was achieved in 61 cases (62%),unchange in 29 (30%) cases,aggravation in 6 (6%)cases,and death in 2 (2%) cases.Conclusions Total or subtotal remove and good results can be gained in the majority of the patients with unilateral thalamic gliomas based on the correct surgical approach,skill and assistive technology.