摘要
报告１５年间经直接手术切除的松果体区肿瘤３３例。采用四种不同的入路切除肿瘤，行肿瘤全切者１７例，大部切除术者１６例，手术后１个月内死亡２例（６％）。作者在讨论中指出，该区肿瘤的手术死亡率和致残率已降低到最低限度，应争取直接手术治疗。并根据病人的具体情况、肿瘤部位和外科医师的经验选择恰当的入路是手术成功的重要环节。
Abstract From 1977 to 1992, We operated 33 patients by using the transcallosal approach (18 cases) , the infratentorial supracerebellar approach (8 cases) , the occipital transtentorial approach (6 cases) , and the transventricular approach (l case). The age of patients were from 5 to 64 years (mean 22 years). Eleven patients were children under the age of 15.Twenty five were male and 8 female. Most of the signs and symptoms were related to hydrocephalus, Parinauds syndrome were in 17 patients. Complete resection of pineal region tumors was seen in 17 patients, and partial removal in 16 cases. The operative mortality was 6%. In our experience, tumors of the pineal region can be resected totally in most cases with satisfactory results, The mortality and mobidity were decreased. We recommend direct operation for treatment of pineal region tumors. The choice of operative approach depends upon the patient's condition, the location of the tumor and the surgeon's experience. No matter what kind of the approach,deeep venous system and surrounding structures of tumors must be preserved without damage, and surgeons must be familiar with the microanatomy of this region and good operative exposune in aso impontant. Finally shunt operation should be indicated if obstructive kydrocephalus remain postoperatively.
出处
《中华神经外科杂志》
CSCD
北大核心
1994年第6期319-321,共3页
Chinese Journal of Neurosurgery
