神经内镜下第三脑室造瘘及活检在小儿松果体区肿瘤诊治中的应用

Roles of endoscopic biopsy and third ventriculostomy in the diagnosis and treatment of pineal region tumors in children

目的 探讨神经内镜下第三脑室造瘘及活检在小儿松果体肿瘤诊治中的应用效果。方法 在去除松果体病变之前运用神经内镜第三脑室造瘘既可以达到永久解除梗阻性脑积水、治疗颅内压增高 ,同时在内镜下行活体组织检查以明确肿瘤的性质 ,为进一步治疗提供参考。结果 9例梗阻性脑积水儿童运用此方法均进行了第三脑室造瘘 ,后经MRI证实成功 ,所有病人没有发生严重并发症。结论 神经内镜第三脑室造瘘并取活检是松果体区肿瘤确实而有效的微侵袭诊疗手段。

Objective To investigate the roles of endoscopic biopsy and third ventriculostomy in the diagnosis and treatment of pineal region tumors in children. Methods Endoscopic biopsy and third ventriculostomy were performed in 9 pediatric patients with pineal region tumors. Results Successful third ventriculostomy, confirmed by MRI, was performed in 9 cases of children with obstructive hydrocephalus. No complications were found in all patients. Conclusion Endoscopic biopsy and third ventriculostomy are effective neuroendoscopic procedures in minimally invasive preferential management of pineal region tumors.