摘要
目的 探讨经侧裂间入路手术治疗岛叶病变对减少邻近脑组织损伤、降低术后并发症的意义。方法 采用常规额颞开颅显微镜下由浅至深分离侧裂池蛛网膜 ,松解额颞叶连系 ,直接暴露岛叶病变 ,并行显微手术切除。结果 15例患者全切除 10例 ,近全切除 5例 ,术后影像证实均无明确的脑组织损伤征象 ,亦无失语、记忆力下降等表现。 15例随访 1～ 3个月 ,无癫痫发作 ,无明显记忆力下降及失语表现 ,手术效果显著。
Objective To probe into the signifiance of treating lesions in insula trans sylvian approach in reducing cerebral injury in peri turmor regions and post operative complications. Methods All patients were operated on through fronto temporal approach. The key procedure was that arachnoid membrane in the sylvian should not only be splited sharply under microscope but also be splited from the superface till to tumors in the insula. Results Post operative CT showed no signs of cerebral injury. None of all the 15 patients suffered aphasia or memory change. Conclusion Trans sylvian approach is an effective operative way in treating lesions in insula.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2000年第7期507-508,共2页
National Medical Journal of China
