婴幼儿颅内巨大肿瘤的手术治疗分析

Operation treatment of infant giant intracranial tumors

目的探讨运用神经外科显微手术方法治疗婴幼儿颅内巨大肿瘤的治疗效果。方法收集2006年7月至2012年6月收治的32例婴幼儿颅内肿瘤患者，采用显微个性化手术治疗方法，依照肿瘤的生长方式、部位及大小，对肿瘤进行全部切除及部分性切除，并用显效、有效及无效等指标来评价手术效果。结果28例患儿经手术全切肿瘤，4例患儿经手术次全切肿瘤，术后经头颅MRI复查显示肿瘤区域明显改变，受压脑组织充分减压，大部分患儿肢体无力、抽搐等症状得到控制，在对症治疗脑积水、皮下和（或）硬膜下积液等并发症后，大部分患者（31／32）顺利出院。结论手术治疗能有效缓解患儿的临床症状，是颅内巨大肿瘤的有效治疗方法。

Objective To explore the effectiveness of microsurgery treatment for infants who suffer from giant intracranial tumors. Methods The clinical data of 32 cases with brain tumors was collected, according to their tumors＇ growth pattern, location, and volume. Then, personalized microsurgical therapy was performed. Results 28 cases had total resection and 4 cases had subtotal resection of the tumor. MRI reexamination showed significant alteration of tumor area and decompressed brain tissue. Most patients＇ symptoms of limb asthenia and convulsion were improved. After the operation,31 patients were discharged after symptomatic treatment of hydrocephaly and subdural effusion. Conclusions Personalized microsurgery treatment is useful for infants＇ brain tumors.