摘要
1983年至1993年,作者等收治经病理证实的丘脑胶质瘤30例,其中活检8例,常规开颅手术切除肿瘤15例,CT定位开颅显微激光切除肿瘤7例,无手术死亡,25例获得随访(平均随访3.5年),15例生存,平均生存2.8年,10例死亡,平均生存0.9年。作者认为无颅内压增高、占位效应不明显的丘脑胶质瘤首选活检加放疗;颅内压增高严重,占位效应明显者宜开颅切除肿瘤。肿瘤较小者选择立体定向显微激光技术切除可获得较高的术后生存质量;肿瘤较大者以常规开颅手术切除为佳。
hirty cases of histologically proven gliomas originating in the thalamus weretreated surgically in Huashan Hospital between 1 983 and 1993.Of them,biopsy wascarried out in 8,conventional craniotomy with tumor resection in 15,CT-guided stereo-tactic laser microsurgery in 7.There were no operative deaths. In follow-up,15 pati-ents are still alive after a mean survival time of 2.8 years,10 patients died after amean survival time of 0.9 year,The authors recommend biopsy followed by radiationfor those who have no intracranial hypertension as the treatment of choice,and tumorresection for those patients with serious intracranial hypertension and significant effectfrom tumors.The patients with smaller tumors treated by stereotactic laser microsur-gery may get desirable quality of life postoperatively. Those patints with largertumors should be operated on conventionally.
出处
《上海医学》
CAS
CSCD
北大核心
1994年第12期683-685,共3页
Shanghai Medical Journal