CAJ | 학술논문

目的探讨中脑导水管及其周围病变的神经内镜手术疗效.方法对2010年5月至2013年5月贵州省人民医院收治的14例中脑导水管及其周围病变的患者采取经额-室间孔入路经神经内镜下手术治疗,先行第三脑室底造瘘术,再行病变切除或活检术、中脑导水管成形术.结果 14例中中脑导水管原发性梗阻4例,胶质瘤4例,脑室型脑囊虫病2例,松果体细胞瘤1例,淋巴瘤1例,脑脓肿1例,生殖细胞瘤1例.术后头颅CT和(或)MRI示脑积水好转,经治疗后好转出院5例,无变化5例,加重4例,无死亡患者.结论在神经内镜下行第三脑室底造瘘术、病变活检术或病变部分切除术、中脑导水管成形术是治疗中脑导水管及其周围病变的较为理想的选择.
목적 탐토중뇌도수관급기주위병변적신경내경수술료효.방법 대2010년5월지2013년5월귀주성인민의원수치적14례중뇌도수관급기주위병변적환자채취경액-실간공입로경신경내경하수술치료,선행제삼뇌실저조루술,재행병변절제혹활검술、중뇌도수관성형술.결과 14례중중뇌도수관원발성경조4례,효질류4례,뇌실형뇌낭충병2례,송과체세포류1례,림파류1례,뇌농종1례,생식세포류1례.술후두로CT화(혹)MRI시뇌적수호전,경치료후호전출원5례,무변화5례,가중4례,무사망환자.결론 재신경내경하행제삼뇌실저조루술、병변활검술혹병변부분절제술、중뇌도수관성형술시치료중뇌도수관급기주위병변적교위이상적선택.
Objective To explore the surgical efficacy of lesions in mesencephalic aqueduct and around it with neuroendoscope. Methods A total of 14 cases with lesion underwent neuroendoscope. Endoscopic third ventriculostomy (ETV), excision or biopsy and mesencephalic aqueduct plasty were performed. Results There were primary obstruction (n=4), glioma (n=4), intraventricular cysticercosis (n=2), pineal cell tumor (n=1), lymphoma (n=1), brain abscess (n=1) and genminoma (n=1). Postoperative cranial computed tomography (CT) and/or magnetic resonance imaging (MRI) showed narrowed ventricle. The outcomes were symptomatic improvement (n=5), no change (n=5), worsening (n=4) and mortality (n=0). Conclusion ETV, lesion biopsy or partial lesion resection and aqueductal plasty are efficacious for the patients with lesions in mesencephalic aqueduct and around it.