摘要
目的:总结第四脑室室管膜瘤的显微外科治疗经验。方法:回顾性分析2000年1月至2010年1月我院收治的50例第四脑室室管膜瘤患者的临床资料。结果:肿瘤全切41例,次全切除5例,大部切除4例,无手术死亡病例,术后发生并发症4例:小脑缄默症2例,脑积水1例,脑神经功能障碍1例。术后随访平均6.5年,其中恢复良好42例,改善5例,恶化3例。结论:应用显微外科技术行经小脑延髓裂入路治疗第四脑室肿瘤,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 summary the experience for the microsurgery of forth ventricle ependymoma.Methods：We retrospectively analyzed 50 cases who suffer from forth ventricle ependymoma in our hospital since 2000 to 2010.Results：Tumor were completely resected in 41 cases,subtotal cases 5,major resected 4 cases,no death case.Complications after surgery included：2 cases cerebellum mutism,1 hydrocephalus,1 cranial nerve functional disturbance.Follow-up time average was 6.5 years,42 cases recovered well,5 cases improved,3 case aggravates.Conclusion：Microsurgery to cure the ependymoma of the forth ventricle via cerebellobulbaris fissure is a good method.The key point of the successful surgery is to be familiar with the microanatomy of the forth ventricle and be attention to protect the function of brain stem.
出处
《现代肿瘤医学》
CAS
2012年第3期509-511,共3页
Journal of Modern Oncology
关键词
室管膜瘤
第四脑室
显微外科
小脑延髓裂
ependymoma
forth ventricle
microsurgery
cerebellobulbaris fissure
