神经内镜下经Endoport通道切除侧脑室肿瘤的疗效分析

Surgical outcomes of neuroendoscopic resection via Endoport channel for lateral ventricle tumors

目的 探讨神经内镜下经Endoport通道切除侧脑室肿瘤的疗效。方法 回顾性分析神经内镜下经Endoport通道切除的15例侧脑室肿瘤的临床资料。结果 肿瘤全切除13例,次全切除2例。术后病理示脑膜瘤5例,室管膜瘤3例,中枢神经细胞瘤3例,乳头状室管膜瘤2例,室管膜下瘤1例,血管周细胞瘤1例。术后出现一过性偏瘫2例、不完全性失语1例,对症处理后改善。术后出现脑积水1例,行脑室-腹腔分流术后明显好转。术后随访6~18月,未见肿瘤复发或进展;术后6个月,KPS评分≥80分13例,<80分2例。结论 神经内镜下经Endoport通道切除侧脑室肿瘤,可提高肿瘤全切除率,减少手术并发症。

Objective To investigate the clinical efficacy of neuroendoscopic resection via Endoport channel for lateral ventricle tumors.Methods The clinical data of 15 patients with lateral ventricle tumors resected under neuroendoscopy via Endoport channel were retrospectively analyzed.Results Total resection of the tumors was achieved in 13 patients and subtotal in 2.Postoperative pathological examination showed meningioma in 5 patients,ependymoma in 3,central neurocytoma in 3,papillary ependymoma in 2,subependymoma in 1,and hemangiocytoma in 1.Transient hemiplegia occurred in 2 patients and incomplete aphasia in 1.Postoperative hydrocephalus occurred in 1 patient who underwent ventriculoperitoneal shunt.The follow-up(range,6~18 months)showed no tumor recurrence or progression.A KPS scores≥80 was chieved in 13 patients and a KPS scores<80 was achieved in 2 patients 6 months after the operation.Conclusions Neuroendoscopic resection via Endoport channel is helpful to improving the total resection rate of the tumors and reducing surgical complications in patients with lateral ventricle tumors.