微创手术入路治疗扣带回肿瘤27例报告

Surgical Treatment of Lesions in Cingulate Gyrus with Minimal Invasive Approach

为总结经大脑半球间裂微创手术入路治疗扣带回肿瘤的效果 ,对天坛医院神经外科 2 0 0 1年 1月至 2 0 0 3年 4月间经手术治疗的扣带回肿瘤 2 7例进行回顾性分析。 2 7例中手术全切 2 2例 ,近全切除 5例 ;病理上以低分级胶质瘤为主 (n =2 5) ,术后除 2例出现对侧肢体轻偏瘫外 ,其余患者肢体活动均正常 ,术后认知功能良好。提示 :扣带回肿瘤多见于中青年人 ,肿瘤常局限于扣带回内生长 ,一般不侵犯邻近的区域 ,病理上以低分级胶质瘤为主 ,沿大脑半球间裂入路可以达到安全切除病变的目的 。

The aim was to summarize postoperative results of lesions in the cingulate gyrus via trans- interhemispheric fissure approach. The surgical results of 27 cases of lesions i n the cingulate gyrus were studied retrospectively. Total resection occurred in 22 cases, subtotal resection in 5 cases. Low-grade glioma was the commonest pat h ological type ( n =25). Except 2 cases occurred postoperative hemiplegia i n the opposite side, the other 25cases were in normal condition and with normal cognitive funtion. Trans-interhemispheric-fissure approach is the most suitabl e way in treating lesions of the cingulate gyrus, which is in accordance with th e concept of minimal invasive surgery.