摘要
目的提高海马及岛叶胶质瘤的诊断治疗效果。方法回顾性总结近年来我们经外侧裂显微外科治疗的11例海马及7例岛叶的胶质瘤的临床表现、诊断、手术方式的选择与预后。结果显微镜下肿瘤全切除11例,次全切除4例,大部分切除3例。术后病理按WHO分级分类,星形细胞瘤11例,间变型星形细胞瘤4例,少突胶质细胞瘤3例。术后症状较术前明显改善13例,无变化3例,加重2例,无手术死亡。结论术前充分了解肿瘤的解剖位置和周围结构的毗邻关系,充分利用脑组织的自然解剖间隙,采用显微外科技术切除肿瘤是影响肿瘤切除及其预后的重要因素。
Objective To improve the diagnostic and curative effect on gliomas in the hippocampus and insular lobe. Methods The clinical data, including clinical manifestations, diagnosis, surgical form and prognosis of 18 patients with hippocampal or insular gliomas, who underwent microsurgery through the lateral fissures, were analysed retrospectively. Of 18 cases of gliomas, 11 were in hippocampus and 7 in the insular lobe. Results Of 18 caseas of gliomas, 11 were totally resected, 4 subtotally and 3 in great part. According to WHO classification of glioma pathology, 11 were astrocytomas, 4 anaplastic astrocytomas and 3 olidendromas. The postoperative symptoms were significantly improved in 13 cases, unchanged in 3 and deteriorated in 2. There was not dead case. Conclusion On the base of familiar microanatomy of the cerebral fissures and skillful microneurosurgical techniques, the good curative effects of microsurgery on hippocampal and insular gliomas can be expected.
出处
《中国临床神经外科杂志》
2006年第2期77-79,共3页
Chinese Journal of Clinical Neurosurgery
关键词
胶质瘤
海马
岛叶
手术治疗
Glioma
Hippocampus
Insular lobe
Microsurgery
