显微手术治疗脑胶质瘤的研究

Study on application of microsurgical resection in patients with cerebral glioma

目的探讨显微手术切除脑胶质瘤的疗效及其技巧。方法回顾性分析显微手术切除及术后病理确诊的胶质瘤34例患者的临床资料。结果手术全切21例,次全切9例,大部分切除4例。术后运动及语言等神经功能未受影响,无手术并发症。结论在脑胶质瘤的治疗中,显微手术明显提高治疗效果,提高生存质量,降低复发率和死亡率,是手术治疗的首选。

Objective To study and evaluate the application of microsurgical resection in patients with glioma, and surgical skills. Methods The technique based on identification and dissection of sulcus adjacent to the turnout followed by whole turnout resection. The clinical data about microsurgical resection and postoperative condition in 34 patients with malignant glioma were retrospectively reviewed. Results Radical resection was done in 21 cases,subtotal resection in 9 cases and partial resection in 4 casesl The clinical status of all patients after operation showed im- proved, and their cerebral functions were not significantly affected. Condusion In cerebral whole lump treatment, the microsurgery obviously enhances the result of treatment, and it may improve the survival quality of patients and cut down the rates of recurrence and mortality. It is the first choice for surgical treatment of cerebral glioma.