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目的探讨丘脑肿瘤的显微外科手术治疗方法和疗效。方法对我院从2003年10月至2010年1月采用不同的手术入路治疗丘脑肿瘤16例,总结临床效果。结果 16例丘脑肿瘤手术,其中全切除肿瘤12例,次全切除2例,部分切除2例。术后,12例临床症状改善,3例出现轻偏瘫,1例术后1周死亡。结论丘脑肿瘤位于脑深部,难度较大,术前制订细致的手术方案,熟练的显微外科技术,采用适当的手术入路和方法获得满意的疗效。
Objective To investigate the microsurgical treatment of thalamic tumors and its efficacy. Methods In our hospital from October 2003 to January 2010 using different surgical approach for the treatment of 16 cases of thalamic tumors, summarize the clinical effect. Results 16 cases of thalamic tumor surgery, including total removal of tumor in 12 cases, subtotal resection in 2 cases, partial resection in 2 cases. After operation, clinical symptoms of 12 cases were improved, hemiparesis occurred in 3 cases, and death occurred in 1 case 1 week after operation. Conclusions The thalamic brain tumor is located in the deep brain and is more difficult. The detailed surgical plans and skilled microsurgery techniques are preoperatively established. Satisfactory curative effects can be obtained by appropriate surgical approaches and methods.