不同入路治疗松果体细胞瘤的对比分析

Comparative Analysis of Different Approaches for the Treatment of Pineal Cell Tumors

目的:通过对不同入路治疗松果体细胞瘤进行对比分析,确定各种手术入路的优劣势。方法:将60例松果体细胞瘤患者按照随机数字表法分成A(n=16)、B(n=18)、C(n=14)、D组(n=12),分别给予Poppen经枕小脑幕入路及额部侧脑室入路、侧脑室三角部入路、胼胝体后入路,瘤体在4 cm×4 cm×4 cm左右条件下进行对比分析。结果:A组预后明显优于其他入路,瘤体全切率高,术后反应小,脑积水发生率减低,功能恢复亦优于其他入路(P<0.05)。结论:Poppen经枕小脑幕入路治疗松果体细胞瘤患者预后明显优于其他入路,值得临床推广应用。

Objective：To compare and analyze through different approaches to cure pineocytoma,to determine the good potential of various kinds of surgical entry.Method：60 Pineocytoma patients were randomly divided into four groups：the group A（n=16）,the group B（n=18）,the group C（n=14）and the group D（n=12）,they were respectively given Poppen pillow into the road,forehead into the lateral ventricle,triangular lateral ventricle into the road and after the corpus callosum approach,tentorium cerebelli tumors at about 4 cm×4 cm×4 cm conditions were compared and analyzed.Result：The group A’s prognosis was better than the other approach,tumors had the high cutting rate,small postoperative reaction,reduced the incidence of hydrocephalus,functional recovery was superior to the other approach（P〈0.05）.Conclusion：Tentorium cerebelli Poppen the pillow into the approach treatment the Pineocytoma patients prognosis is better than the other approach,it is worthy of clinical application.