岛叶胶质瘤显微手术治疗探讨

发布时间：2018-03-19 06:43

本文选题：岛叶胶质瘤　切入点：显微神经外科手术　出处：《广东医学》2017年S1期 　论文类型：期刊论文

【摘要】：目的探讨岛叶胶质瘤的显微手术治疗经验。方法回顾性分析14例经手术治疗的岛叶胶质瘤病例资料,术前依据肿瘤与豆纹动脉的关系分为侵入型和挤压型,均开颅手术,在充分暴露外侧裂基础上,肿瘤涉及额叶4例增加额叶暴露,涉及颞叶5例增加颞叶暴露,术中使用超声刀、神经导航减少血管损伤,沿解剖边界切除肿瘤。结果本组肿瘤影像学全切除8例,次全切除2例,部分切除4例,无手术死亡病例。术后病理学结果显示星形细胞瘤6例,少突胶质细胞瘤4例,间变星形细胞瘤1例,间变少突细胞瘤1例,胶质母细胞瘤2例。术后9例症状较术前好转,3例无变化,2例较术前加重。结论术前设计手术方案,术中仔细辨析重要解剖标志,利用外侧裂提供的操作空间,使用超声刀和神经导航辅助肿瘤切除,可提高肿瘤全切率并减少术后功能障碍。
[Abstract]:Objective to investigate the experience of microsurgical treatment of insular glioma. Methods 14 cases of insular glioma treated by operation were retrospectively analyzed. According to the relationship between the tumor and the lenticular artery, the patients were divided into invasive type and compression type before operation. On the basis of full exposure to the lateral fissure, the tumor involved 4 cases of increased frontal lobe exposure and 5 cases of increased temporal lobe exposure. During the operation, ultrasound scalpel and neuronavigation were used to reduce vascular injury. Results there were 8 cases of total resection of tumor, 2 cases of subtotal resection, 4 cases of partial resection, and 4 cases of operative death. The pathological results showed that 6 cases were astrocytoma, 4 cases were oligodendrocytoma, and 4 cases were oligodendrocytoma. There were 1 case of anaplastic astrocytoma, 1 case of anaplastic oligocytoma, 2 cases of glioblastoma. Using the operation space provided by lateral fissure, using ultrasonic knife and neuronavigation to assist tumor resection, can improve the total resection rate of tumor and reduce postoperative dysfunction.
【作者单位】：暨南大学第二附属医院神经外科;深圳市南山区人民医院神经内科;
【基金】：深圳市南山区技术研发和创意设计分项资金教育(卫生)科技资助项目(编号:南研卫2015010号)
【分类号】：R739.41

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