论文部分内容阅读
目的探讨经胼胝体-穹窿间手术入路切除第三脑室肿瘤的应用和疗效。方法总结分析首都医科大学附属北京天坛医院自2012年1月—2013年1月间20例经胼胝体-穹窿间入路切除第三脑室肿瘤患者病例资料。结果肿瘤全切12例,近全切8例,无死亡病例;其中颅咽管瘤12例,星形细胞瘤6例,垂体腺瘤2例。术后出现多饮、多尿、电解质失调患者14例,短期缄默症患者3例,术后浅昏迷患者1例(术后48h内),高热、嗜睡及轻微精神症状2例,经积极治疗均在1~3周后出现明显好转。结论经胼胝体-穹窿间入路利用解剖生理间隙进行操作;对第三脑室的暴露效果好,肿瘤全切率高;对周围结构损伤小,术后并发症少且经积极治疗多可恢复,是手术切除第三脑室病变的良好选择。
Objective To investigate the application and curative effect of surgical resection of the third ventricle through the corpus callosum - vault. Methods A total of 20 cases of third ventricle tumor patients who underwent resection of the corpus callosum - vault between January 2012 and January 2013 at Beijing Tiantan Hospital, Capital Medical University were analyzed. Results The tumor was completely resected in 12 cases and nearly complete resection in 8 cases without any deaths. There were 12 cases of craniopharyngioma, 6 cases of astrocytoma and 2 cases of pituitary adenoma. There were 14 cases of polydipsia, polyuria and electrolyte imbalance, 3 cases of short-term mutism, 1 case of postoperative unconsciousness (within 48 hours after operation), 2 cases of hyperthermia, drowsiness and mild psychiatric symptoms. After active treatment After 1 to 3 weeks significantly improved. Conclusions The operation of the anatomy and physiology gap through the corpus callosum - vault approach; good exposure to the third ventricle, high tumor resection rate; small damage to the surrounding structure, less postoperative complications and more active treatment can be restored, is Surgical removal of the third ventricle a good choice.