北京医学
北京醫學
북경의학
BEIJING MEDICAL JOURNAL
2015年
4期
337-339
,共3页
朴明学%林松%白吉伟%张懋植%徐宇伦
樸明學%林鬆%白吉偉%張懋植%徐宇倫
박명학%림송%백길위%장무식%서우륜
扣带回%胶质瘤%显微外科
釦帶迴%膠質瘤%顯微外科
구대회%효질류%현미외과
Cingulate gyrus%Glioma%Microneurosurgery
目的:总结原发扣带回胶质瘤的临床特点、显微外科手术方法及疗效。方法回顾性分析2009年1月-2013年4月经手术治疗及病理证实的56例原发扣带回胶质瘤患者的临床资料。结果患者首发症状以癫痫为主。在电生理和B超辅助下,手术全切40例,近全切除11例;部分切除5例。病理结果星形细胞瘤34例,少枝胶质细胞瘤10例,间变星形细胞瘤5例,胶质母细胞瘤7例。82%肿瘤位于扣带回前部,18%肿瘤位于扣带回后部。结论扣带回胶质瘤是少见肿瘤,癫痫发作是其主要首发症状,显微外科手术切除是有效方法。术中电生理监测和术中B超是重要的辅助手段。
目的:總結原髮釦帶迴膠質瘤的臨床特點、顯微外科手術方法及療效。方法迴顧性分析2009年1月-2013年4月經手術治療及病理證實的56例原髮釦帶迴膠質瘤患者的臨床資料。結果患者首髮癥狀以癲癇為主。在電生理和B超輔助下,手術全切40例,近全切除11例;部分切除5例。病理結果星形細胞瘤34例,少枝膠質細胞瘤10例,間變星形細胞瘤5例,膠質母細胞瘤7例。82%腫瘤位于釦帶迴前部,18%腫瘤位于釦帶迴後部。結論釦帶迴膠質瘤是少見腫瘤,癲癇髮作是其主要首髮癥狀,顯微外科手術切除是有效方法。術中電生理鑑測和術中B超是重要的輔助手段。
목적:총결원발구대회효질류적림상특점、현미외과수술방법급료효。방법회고성분석2009년1월-2013년4월경수술치료급병리증실적56례원발구대회효질류환자적림상자료。결과환자수발증상이전간위주。재전생리화B초보조하,수술전절40례,근전절제11례;부분절제5례。병리결과성형세포류34례,소지효질세포류10례,간변성형세포류5례,효질모세포류7례。82%종류위우구대회전부,18%종류위우구대회후부。결론구대회효질류시소견종류,전간발작시기주요수발증상,현미외과수술절제시유효방법。술중전생리감측화술중B초시중요적보조수단。
Objective To summarize the clinical features and microsurgical resection of gliomas in the cingulate gyrus (CG). Methods Clinical data of 56 cases of gliomas in the GC were studied retrospectively. Results Complete re-section was achieved in 40 patients, subtotal resection in 11 patients, and partial resection in 5 patients. Histologically, the tumors were astrocytoma in 34 cases, oligodendroglioma in 10 cases, anaplastic astrocytoma in 5 cases, and glioblastoma in 7 cases. Eighty-two percent of the gliomas were located in the anterior part of the CG and 18%in the posterior part. Conclusion Gliomas arising from the cingulate gyrus are rare. Seizures are the predominant presenting symptoms. Micro-surgical resection is effective. Intraoperative monitoring and ultrasound are helpful ancillary approaches.