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前颞叶切除术中侧裂静脉的变异与保护 被引量:5

Surgical techniques for variations of the sylvian vein in anterior temporal lobectomy
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摘要 目的研究侧裂引流静脉的走行变异,并提出在前颞叶切除术中相应的手术策略,最大限度地保护侧裂静脉,防止并发症发生。方法临床观测64例颞前叶和海马切除术中侧裂静脉的走行,归纳总结静脉变异类型,根据这些静脉的变异走行特征,采用不同的手术方法和策略,以保护重要的引流静脉。结果侧裂引流静脉的变异可以归纳为6种类型:分别是并列型、汇合型、分叉型、骑跨型、迂回型和隐匿型。对不同变异类型的引流静脉,在术中采取不同的手术策略和技术,侧裂引流静脉全部得到保护,避免了并发症的发生。结论前颞叶海马切除术中,详细观察和分析外侧裂静脉走行特点和变异类型,采取不同的手术策略来处理侧裂静脉,对提高手术疗效、减少并发症的发生有实用价值。 Objective To observe and sort out the features and variations of the sylvian fissure veins, and apply appropriate surgical techniques and strategies to the operation. Method The features and variations of sylvian fissure veins were observed in 64 patients as the anterior temporal lobeoctomy were conducted for treatment of temporal lobe epilepsy. The variations of the sylvian vein were dentified and grouged into 6 types. Proper surgical strategy and technique were applied for each variation during the operation. Results Six types of variations of the syivian vein were observed, named as "parataxis ", "convergency", "cross - link", "straddle - over", "circuitous" and "deep - hided" respectively. Sylvian veins were properly protected and no significant complications occurred. Conclusions Careful observation of the features and variations of sylvian fissure veins during the anterior temporal lobectomy is helpful to preserve the sylvian fissure veins and improve the surgical results.
出处 《中华神经外科杂志》 CSCD 北大核心 2010年第5期391-394,共4页 Chinese Journal of Neurosurgery
关键词 癫痫 前颞叶切除术 外科手术 静脉变异 Epilepsy Anterior temporal lobectomy Surgical procedures, operative Variations of the veins
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