侧脑室脑膜瘤显微外科手术治疗的分析

发布时间：2018-05-25 05:21

本文选题：侧脑室 + 脑膜瘤　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:探讨侧脑室脑膜瘤显微外科手术治疗的疗效。方法:收集了我院神经外科2012年1月至2016年4月收治的17例侧脑室脑膜瘤患者病例资料,回顾性分析患者临床特点、影像学检查、病理结果等情况。结果:所有患者均行手术治疗,其中3例患者采用了颞枕叶皮层入路,4例患者采用了颞叶皮层入路,6例患者采用了枕叶皮层入路,2例患者采用了顶叶皮层入路,2例患者采用了经脑沟入路。病理证实上皮型脑膜瘤3例,纤维型脑膜瘤4例,混合型脑膜瘤2例,过渡型脑膜瘤4例,脑膜皮细胞型脑膜瘤4例。术后行头颅MRI检查显示所有患者肿瘤完全切除,无手术死亡病例。术后1周头痛、头晕、恶心呕吐等症状消失;2例患者术后发生颅内感染,经过腰椎穿刺取脑脊液进行药敏培养、给予细菌敏感的抗生素抗感染治疗,症状好转;1例患者发生继发性癫痫、脑积水,给予抗癫痫药物治疗后病情好转;1例患者术后发生了失语;1例患者术后发生了视力障碍。17例患者术后随访1个月~12个月,平均6个月,随访期间肿瘤无复发,17例患者KPS评分大于80分,恢复良好。结论:根据影像学明确诊断侧脑室脑膜瘤后,根据肿瘤的大小、位置选择最适合的手术入路,尽早的进行显微外科手术切除是侧脑室脑膜瘤有效且安全的治疗方法。
[Abstract]:Objective: To investigate the curative effect of microsurgical treatment of lateral ventricle meningioma. Methods: 17 cases of lateral ventricle meningioma treated in our hospital department of neurosurgery from January 2012 to April 2016 were collected, and the clinical features, imaging examination and pathological results were analyzed retrospectively. Results: all patients were treated with surgical treatment, of which 3 cases were affected. The temporal occipital cortical approach was used in 4 patients with temporal cortex approach, 6 with occipital cortex approach, 2 with parietal cortex approach and 2 with cerebral trench approach. Pathology confirmed epithelial meningioma in 3 cases, fibrous meningioma in 4 cases, mixed meningioma in 2 cases, transitional meningioma 4, meningeal thin. 4 cases of cytosolic meningioma. After the operation, the head MRI examination showed that all the patients were completely resected and no surgical death cases. The symptoms of headache, dizziness and nausea and vomiting disappeared in 1 weeks after operation. 2 cases had intracranial infection after operation, and the cerebrospinal fluid was cultured after lumbar puncture, and the bacterial sensitive antibiotics were given anti infection treatment and the symptoms improved; 1 Cases of secondary epilepsy, hydrocephalus, after treatment with antiepileptic drugs were improved; 1 patients suffered from aphasia after operation; 1 patients had postoperative visual impairment.17 patients were followed up for 1 months for ~12 months, averaging 6 months, no recurrence in the follow-up period, 17 cases of KPS score greater than 80 points, good recovery. Conclusion: according to shadow After the diagnosis of the lateral ventricle meningioma, the most suitable surgical approach is chosen according to the size and location of the tumor. Microsurgical resection is an effective and safe treatment for the lateral ventricle meningioma as early as possible.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R739.45

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