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枕部经小脑幕入路切除松果体区肿瘤 被引量:2

Occipital transtentorial approach for resection of pineal region tumors
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摘要 作者采用枕部经小脑幕入路对24例松果体区肿瘤进行了手术切除,其中全切除11例;次全切除9例;部分切除4例.24例中.21例症状改善,2例恶化,1例死亡.作者认为,此入路的优点有:①深静脉系统保持在直视下,不易损伤;②供应肿瘤的动脉分支可以早期得以控制;③视野开阔,尤其适用于肿瘤较大.向侧方和(或)脑室内生长者;④可同时进行侧脑率-脑池的分流手术.根据我们的经验.术前伴有脑积水的松果体区肿瘤不论肿瘤是良性还是恶性.也不管肿瘤是否全切除,中脑导水管在术后短期内似乎都不能再通.因此我们认为,对这些病人在切除(即使是全切除)肿瘤后都应同期或分期作分流手术. Twenty four patients with pineal region tumors were operated upon via occipital transtentorial approach. Among them, the tu-mors were totally removed in 11 cases jsubtotally in 9; partially in 4. The neurological condition improved in 21 cases, whereas deteriorated in 2 and only 1 died after surgery. The advantages of this approach were as follows:(1)the deep venous system was kept under direct vision; (2)early control of vascular supply was easily accomplished; (3)good visualization,particularly for exposure of ventricular and lateral extension of the tumors,-(4) a lateral ventricular-cistern shunting could easily be placed just following excision of the tumor. According to our experience, the aqueduct did not reopen during a few days in the postoperative period. The patients with pineal region tumor, usually had hydrocephalus preoperatively, despite the tumor was benign or malignant, and the tumor was totally removed or not,and therefore most of the patients should undergo placement of a shunt system.
出处 《微侵袭神经外科杂志》 1996年第4期244-246,共3页
关键词 枕部经小脑幕入路 切除 松果体区肿瘤 疗效观察 pineal region tumor surgical approach shunting procedure
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  • 1熊南翔,赵洪洋,王少兵,张光璞,刘正平,朱贤立,李龄.手术切除松果体区肿瘤时对合并脑积水的处理及预后[J].中国微侵袭神经外科杂志,2005,10(8):353-354. 被引量:4
  • 2漆松涛,邱炳辉,方陆雄,张喜安.松果体区肿瘤的显微外科治疗(附62例报告)[J].中国微侵袭神经外科杂志,2005,10(10):441-443. 被引量:18
  • 3蔡博文,游潮,惠旭辉,李浩,张跃康,刘艳辉.松果体区肿瘤的显微外科治疗(附31例报告)[J].中华神经外科杂志,2007,23(4):286-288. 被引量:9
  • 4方陆雄,邱炳辉,黄广龙,曾浩,漆松涛.枕下经小脑幕入路松果体区肿瘤切除术后脑积水的处理[J].中国微侵袭神经外科杂志,2007,12(7):308-310. 被引量:15
  • 5Konovalov AN, Pitskhelauri DI. Principles of treatment of the pineal region tumors. Surg Neurol, 2003, 59:250-268.
  • 6Tamaki N, Yin D. Therapeutic strategies and surgical results for pineal region tumors. J Clin Neurosci, 2000, 7:125-128.
  • 7Lapras C. Surgical therapy of pineal region tumors. In : Neuwelt EA (ed). Diagnosis and treatment of pineal region tumors. Baltimore : Wilkins and Williams, 1984:289-299.
  • 8Hernesniemi J, Romani R, Albayrak BS, et al. Microsurgical management of pineal region lesions: personal experience with 119 patients. Surg Neurol, 2008, 70:576-583.
  • 9Ahn ES, Goumnerova L. Endoscopic biopsy of brain tumors in children: diagnostic success and utility in guiding treatment strategies. J Neurosurg Pediatr, 2010, 5:255-262.
  • 10Chaynes P. Micmsurgical anatomy of the venous drainage of the mesencephalodiencephalic junction. Neurosurgery, 2004, 54 : 678-686.

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