期刊文献+

第四脑室室管膜瘤的显微手术治疗

Microsurgical Treatment of the Fourth Ventricle Ependymomas
下载PDF
导出
摘要 目的探讨第四脑室室管膜瘤的显微手术治疗方法。方法运用显微神经外科技术,采用后颅窝正中人路,切除肿瘤l1例。结果肿瘤全切8例,近全切除2例,大部切除l例。l例死于术后脑干损伤。另1例2年后复发死亡。术后出现脑积水2例,均行脑室-腹腔分流术。结论应用显微外科技术治疗第四脑室肿瘤,手术成功率高。熟悉第四脑室的显微解剖,注意保护脑干功能是手术成功的关键。 Objective To explore the microsurgical treatment of the fourth ventricular ependymomoas. Methods A total of 11 cases of the fourth ventricular ependymomas were received microsurgieal treatment through a median infratentorial approach. Results Among the 11 patients,8 tumors were totally removed, 2 with subtotal removal and 1 with partially removal. One patient died from postoperative brain stem injury. While another patient died from recurrence two years later. Hydrocephalus was diagnosed in 2 cases after resection surgery. VP shunts were subsequently performed. Conclusions The microsurgical technique during the treatment of the fourth ventricular ependymomoas can help to improve the outcome of the patients.Protection of brain stem during operation and well understanding microanatomy of the fourth ventricular are the key to successfully complete the procedure.
出处 《科技通报》 2007年第1期72-74,共3页 Bulletin of Science and Technology
关键词 室管膜瘤 第四脑室 显微手术 the fourth ventricular ependymomas microsurgery
  • 引文网络
  • 相关文献

参考文献7

  • 1Symth MD,Horn BN,Russo C,et al.Intracranial ependymomas of childhood:current management strategies[J].Pediatr Neurosurg,2000,33:138-150.
  • 2Vinchon M,Soto-Ares G,Riffaud L,et al.Supratentorial ependymomas in children[J].Pediatr Neurosurg,2001,34:77-87.
  • 3Hamilton RL,Pollack IF.The molecular biology of ependymomas[J].Brain Pathol,1997,7:807-822.
  • 4Awaad YM,Allen JC,Miller DC,et al.Deferring adjuvant therapy for totally resected intracranial ependymoma[J].Pediatr Neurol,1996,14:216-219.
  • 5Teo C,Nakaji P,Symons P,et al.Ependymoma[J].Childs Nerv Syst,2003,19:270-285.
  • 6Jordi XK,Joseph HP.Resection of fourth vetricle tumors without splitting the vermis:the cerebellomedullary fissure approach[J].Pediatr Neurosurg,1997,27:28-33.
  • 7Rhoton AL Jr.Cerebellum and fourth ventricle[J].Neurosurg,2000,47:S7-27.

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部