摘要
目的 探讨外侧裂区胶质瘤的临床特点、影像学特征以及手术方法。方法 对 42例手术证实为外侧裂区胶质瘤的患者资料进行回顾性分析。结果 全切 3 0例 ,次全切 12例 ,无手术死亡病例。结论 外侧裂区胶质瘤青壮年多见 ,病程相对较长 ,临床症状以头痛、癫痫发作为主 ,有定位体征例不足 1/ 3。翼点入路暴露较好 。
Objective To investigate the clinical charactistics and operation techniques of the gliomas located in lateral fissure area.Methods The data of 42 patients with gliomas located in lateral fissure proved by operation were analyzed retrospectively.Results Of 42patients with the gliomas located in lateral fissure area,30 cases received total resection,12 cases received subtotal resection.No patients died from the operation.Conclusion The gliomas located in lateral fissure area occures chiefly in younth and middle-aged patients.The initial sign was headache in 23 cases,the initial sign was epilepsy in 16 cases.As the initial sign,focal motor signs or abnormalities of sensation were uncommon.The pterional approach is well suited to resection of the gliomas located in lateral fissure.For the operations succeed,it is vitally important that the main branches of middle cerebral artery and the important brain functional areas were preserved.
出处
《四川医学》
CAS
2004年第8期861-862,共2页
Sichuan Medical Journal
关键词
胶质瘤
外侧裂
临床特点
手术技巧
glioma
lateral fissure of cerebral
the clinical characteristics
the operation techniques
