显微手术治疗脑胶质瘤临床应用

Clinical application of microsurgery to glioma

目的 探讨脑胶质瘤病人的切除率、预后因素和疗效。 方法 对 88例脑胶质瘤患者施行显微切除术。术后随访 1～ 10年 结果 88例全切除 5 5例 ,次全切除 18例 ,大部分切除 15例。无手术死亡及严重并发症。半年内存活 17例(19 3 % ) ,1年存活 2 2例 (2 5 0 % ) ,2年存活 2 7例 (30 7% ) ,5年存活 14例 (15 9% ) ,10年存活 8例 (9 0 % )。 结论 显微手术治疗脑胶质瘤疗效满意、创伤小。

Objective To explore the removable rate of glioma, and to evaluate the prognosis and therapeutic effect of glioma. Methods 88 patients with glioma were treated by microscopic resection. The patients were followed up for 1～10 years Results The total removal of glioma was made in 55 cases, subtotal removal in 18 cases and substantial removal in 16 cases. Death and severe complication were not observed in all patients. At 0.5, 1,2,5,10 years after surgery, their survival (rates) were 17(19.3%), 22(25.0%), 27(30.0%), 14(15.9%), 8(9.0%), respectively. Conclusions Microsurgery can be employed to effectively treat glioma. Damage to normal brain tissues around lesion and complication are less than tranditional surgery.