【摘要】 目的探讨松果体区肿瘤外科治疗的方法、入路和注意事项。方法回顾分析12例松果体区肿瘤直接手术患者的临床特点、手术及预后情况。12例患者中,枕下经小脑幕入路(Poppen入路)7例,经胼胝体-穹窿间入路3例,颞部侧脑室三角部入路1例,幕下小脑上入路(krause入路)1例。结果肿瘤全切除11例。术后死于并发症1例;随访8个月至3.5年,10例恢复良好,1例生活基本自理,1例术后3月死亡。结论松果体区肿瘤的手术治疗效果较好,选择合适的手术入路及体位,熟练的显微外科手术技巧是手术成功的关键。更多还原

【Abstract】 Objective To investigate the technique,approach and attention of surgical treatment for pineal region tumors. Methods The clinical characteristic,surgical approach and prognosis of 12 patients with pineal region tumors were analyzed retrospectively. Of 12 patients,suboccipital supratentorial approach were underwent in 7,transcallosal-interfornix approach in 3,infratentorial supracerebellar approach in 1 and lateral transventricular approach in 1. Results The tumors were totally resected in 11 patients. One patient died of postoperation complications. The follow up from 8 to 41 months showed 10 patients recovered well,one could care of himself and 1 died at three months after operation. Conclusion Mircrosurgical treatment is an effective method for pineal region tumors. Correct choice of microsurgical approach and skillful microsurgical technique are the key to the success of operation.更多还原