颞叶内侧胶质瘤的显微手术治疗体会

Experience of Microsurgical Treatment on Glioma of Mesial Temporal lobe

目的:探讨颞叶内侧胶质瘤的显微手术疗效并总结经验。方法:回顾性分析23例行显微手术治疗的颞叶内侧胶质瘤患者的临床资料及手术并发症的发生情况。结果:23例患者中,20例全切除,3例次全切除术,术后术区残血1例,无手术死亡病例。术前癫痫发作18例,术后缓解16例;术前有失语8例,后缓解3例;术前8例偏盲,术后改善2例;术前偏瘫2例,术后改善1例;术后新增失语2例,术后新增偏盲3例,术后新增偏瘫1例,1年随访复发3例。结论:经侧裂入路切除颞叶内侧胶质瘤的手术疗效良好,可以最大程度切除术肿瘤,并发症较少。

Objective: To investigate the methods and effects of microsurgical treatment on glioma of mesial temporal lobe, then to sum up experience. Methods: The clinical data and surgical complications of 23 cases of mesial temporal lobe glioma treated by microsurgery were analyzed. Results: Among these 23 cases, there were 20 cases of total resection, 3 cases of sub-total resection, 1 case of residual blood in the operation area after operation, and no operative death. There were 18 cases of epilepsy before operation and 16 cases of relief after operation. There were 8 cases of aphasia before operation and 3 cases of relief after operation. 8 cases were hemianopsia before operation and 2 cases were improved after operation. There were 2 cases of hemiplegia before operation and 1 case of improvement after operation. There were 2 cases of aphasia, 3 cases of hemianopia and 1 case of hemiplegia. Three cases recurred after one year follow-up. Conclusion: Mesial temporal lobe gliomas can be safely and aggressively resected via trans-sylvian approach.