边缘系统脑胶质瘤的临床特点及显微手术方法探讨

Investigation into Clinical Characteristics of Brain Glioma of Limbic System and Microsurgical Treatment

目的探讨边缘系统胶质瘤的临床特点和显微外科治疗的手术技巧及术中注意事项。方法回顾性分析我院35例边缘系统脑胶质瘤患者临床资料。所有病例均采用显微手术,在保护重要结构的前提下最大限度地切除肿瘤。结果显微镜下全切除肿瘤26例,次全切除5例,部分切除4例。术后1例死亡。结论熟悉边缘系统的局部解剖和熟练掌握显微神经外科技术是手术成功的关键。术中注意对侧裂区动静脉血管及肿瘤周围重要功能区的保护,能够提高边缘系统胶质瘤的手术治疗效果。

Objective To explore the clinical characteristics of limbic glioma and microsurgical treatment including surgical technique and intraoperative considerations. Methods A total of 35 patients with limbic glioma were retrospectively analyzed. All the patients were treated with microsurgical operation, in the protection of vital structures on the premise of maximizing tumor resection. Results The microsurgical operation was performed under microscopy, i.e. total tumor resection in 26, subtotal resection in 5 and partial resection in 4 patients. One patient died after operation. Conclusion Familiarity with limbic system anatomy and proficiency in neurosurgical technology is the key to successful operation for limbic glloma. Surgeons should pay attention to the intraoperative protection of the contralateral split-plot arterio-venous blood vessels and the key functional areas surrounding the tumor.