摘要
目的 分析41例中枢神经细胞瘤的诊疗经过及预后,探讨其最佳治疗策略.方法 回顾性分析2010年3月至2016年1月41例经病理结果证实的中枢神经细胞瘤患者的临床资料,总结其最佳诊治方法.结果 全组41例患者均行手术治疗,经皮层造瘘入路24例,经纵裂胼胝体入路17例;其中全切21例,次全切11例,部分切除9例;轻度偏瘫7例,失语5例,脑室内出血1例,硬膜外血肿2例,昏迷3例,死亡1例.随访5-75个月,平均31.2个月,随访期间残余肿瘤明显缩小或消失7例,缩小6例,6例无明显变化,2例复发.结论 手术是治疗中枢神经细胞瘤的首选方法,应慎行全切、次全切;伽马刀作为中枢神经细胞瘤术后辅助性放疗或单独使用,效果良好.
Objective To analyze the treatment and prognosis of 41 patients with ventricle central neurocytoma, and investigate the best treatment strategy.Methods A retrospective review of 41 patients with ventricle central neurocytoma confirmed by pathology from March 2010 to January 2016 were studied, and the best methods of treatment were summarized.Results All the 41 tumors were resected by microoperative method, transcortical fistula approach in 24 cases, via transcallosal approach in 17 cases;total resection in 21 cases, subtotal resection in 11 cases, partial resection in 9 cases.In all patients, seven cases of mild hemiplegia, five cases of aphasia, one case of ventricular hemorrhage, two cases of epidural hematoma, three cases of coma, one case of death.The follow-up time was 5-75 months, with an average of 31.2 months.During the follow-up period, the residual tumors significantly reduced or disappeared in 7 cases, reduced in 6 cases, no significant changed in 6 cases, and recrudesced in 2 cases.Conclusions Surgery is the first choice for the treatment of ventricle central neurocytoma, but should be cautious to choose total resection and subtotal resection.Gamma knife as central neurocytoma postoperative auxiliary radiotherapy or used alone, the effect is good.
出处
《中国实用医刊》
2017年第7期29-32,共4页
Chinese Journal of Practical Medicine
关键词
中枢神经细胞瘤
脑室肿瘤
治疗
Central neurocytoma
Ventricle tumor
Treatment
