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经胼胝体-穹窿间入路显微切除第三脑室肿瘤

Microsurgery of tumors in the third ventricle via transcallosal-interforniceal approach

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【作者】 雷有恩郑华平唐景峰

【Author】 LEI You-en1,ZHENG Hua-ping2,TANG Jing-feng2① 1.Dept.of Neurosurgery,the People’s Hospital of Lingui County,Guilin 541100,China;2.Dept.of Neurosurgery,the Affiliated Hospital of Guilin Medical University,Guilin 541004,China

【机构】 临桂县人民医院神经外科桂林医学院附属医院神经外科

【摘要】 目的:探讨经胼胝体-穹窿间入路显微手术切除第三脑室肿瘤的方法及疗效。方法:经胼胝体-穹窿间入路显微手术切除第三脑室肿瘤13例,分析其疗效。结果:全切除10例,次全切除3例,手术均成功。术后出现多尿、多饮、电解质紊乱7例,中枢性高热3例,嗜睡2例,缄默症3例,经处理后1~2周好转出院。结论:经胼胝体-穹窿间入路沿解剖间隙进入,肿瘤全切除率较高,术后并发症少。

【Abstract】 Objective: To explore the method and curative effect of transcallosal interforniceal approach microsurgical operation resection of the third ventricle tumors.Methods: The transcallosal interforniceal approach in microsurgical operation resection of third ventricle tumors 13 cases,and analyze the effect.Results: Total resection was achieved in 10 cases,subtotal resection in 3 cases,operation was successful.Polyuria,polydipsia,electrolyte disturbance occurred in 7 cases after operation,3 patients with central high fever,somnolence in 2 cases,3 cases of transient mutism,after treatment of 1~2 weeks to discharge.Conclusion: The transcallosal interforniceal approach along the anatomic space contributes to higher total tumor resection rate,less postoperative complications.

【关键词】 肿瘤第三脑室胼胝体-穹隆显微外科
【Key words】 tumorthird ventricletranscallosal-domemicrosurgery
  • 【文献出处】 华夏医学 ,Acta Medicinae Sinica , 编辑部邮箱 ,2013年04期
  • 【分类号】R739.4
  • 【下载频次】39
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