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回顾分析三脑室肿瘤53例的分类及治疗结果。本组按肿瘤占据的部位分为:三脑室内(9例)、后部(18例)、前部(13例)及侧壁(13例)4组,它们的来源及性质不同,故治疗方法各异。室内及前部肿瘤,良性较多,适应作直接手术;后部肿瘤恶性较多宜先作引流及放疗,如证明为良性应行直接手术;侧壁肿瘤无法直接切除,愈后最差。由于三脑室位置深,周围有四叠体、中脑、下丘脑、大脑内静脉、大脑大静脉,穹窿等重要结构,手术时入路的选择应注意保护,利用放大镜及显微技术,有利手术成功。
Retrospective analysis of three ventricle tumors in 53 cases of classification and treatment results. The group occupied by the tumor site is divided into: the third ventricle (9 cases), the posterior (18 cases), anterior (13 cases) and lateral wall (13 cases) 4 groups, their origin and nature of different treatment Different ways. Indoor and anterior tumors, more benign, adapted for direct surgery; more malignant tumors should be more for the first drainage and radiotherapy, as proved to be benign direct surgery; lateral tumor can not be directly removed, the worst after the worst. Due to the deep position of the third ventricle, surrounded by four stacks, the middle brain, hypothalamus, intracerebral vein, cerebral vein, fornix and other important structures, the choice of surgical approach should pay attention to protection, the use of magnifying glass and microscopy, favorable surgery success.