脑沟入路手术切除侧脑室三角区病变(附35例报告)

Operative therapy for lesions in the trigone of the lateral ventricle with trans-sulcus approach(port of 35 cases)

目的探讨经脑沟入路切除侧脑室三角区肿瘤的意义。方法回顾性总结了经脑沟入路治疗的35例侧脑室三角区病变的手术效果。结果其中脑膜瘤24例(均行全切除),丘脑枕部胶质瘤11例(均为近全切除):术后CT、MRI随访全部病例中,31例脑组织手术痕迹不明显;沟旁脑组织无明显软化、挫伤的表现;4例可隐约看到沟旁皮层水肿或软化。结论脑沟入路切除侧脑室三角区病变是可行的,且有助于减少脑组织的损伤。

Objective To probe into the significance of treating lesions in the trigone of the lateral ventricle with trans-sulcus approach. Methods The post-operative results of the 35 cases who were treated on with trans-sulcus approach were analyzed retrospectively. Results Among the 35 cases, 24 of meningiomas were totally removed, but the other 11 of gliomas were subtotally removed. Post-operative CT or MRI showed no obvious sign of contusion in para-sulcus region in 31 patients, only 4 cases show a little edema. Conclusion Trans-sulcus approach is helpful in reducing cerebral injury when treating lesions in the trigone of the lateral ventricle.