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目的探讨室间孔区肿瘤的临床分类及意义。方法对我科收治的23例室间孔区肿瘤按病变累及的范围分为侧脑室型室间孔肿瘤、哑铃型室间孔肿瘤和第三脑室型室间孔肿瘤三类,根据不同类型分别采用经皮质侧脑室入路、胼胝体前入路和经室间孔入路等手术方式进行治疗。结果肿瘤全切除16例,次全切除5例,部分切除2例。术后恢复良好20例,昏迷1例,死亡2例(其中1例死于深部静脉损伤,另1例死于再出血)。结论室间孔区肿瘤有一定特点,其分类对临床手术有一定指导意义。
Objective To investigate the clinical classification and significance of intercortical tumor. Methods Twenty-three cases of intercortical hole tumors treated in our department were divided into three categories: lateral ventricular intercavity tumor, dumbbell-type intercavity tumor and third ventricle type intercavity tumor according to the range of lesion involvement. According to different types Transcortical intraventricular approach, the corpus callosum anterior approach and inter-peritoneal access and other surgical methods for treatment. Results Total resection in 16 cases, subtotal resection in 5 cases, partial resection in 2 cases. Postoperative recovery was good in 20 cases, coma in 1 case, 2 patients died (1 died of deep venous injury, another died of rebleeding). Conclusion There are some characteristics of the tumor in the intercavity area, and its classification has certain guiding significance for clinical surgery.