摘要
目的探讨松果体区肿瘤的显微手术方法及治疗效果。方法回顾性分析2006年11月至2016年11月手术治疗的32例松果体区肿瘤的临床资料。结果 18例采用枕下小脑幕上入路,14例采用幕下小脑上入路;肿瘤全切除20例,次全切除12例,无围手术期死亡。32例术后随访6个月至10年。术后3个月KPS评分100分26例,90分3例,80分1例,70分1例,60分1例。术后复发6例,均行γ刀治疗,再次手术5例,其中4死亡。结论影像学特点、临床表现及实验室检查,对定性诊断松果体区肿瘤有很大帮助;大多数松果体区肿瘤采用显微手术切除可获得良好疗效。
Objective To discuss the imaging findings of the pineal region tumors and effect of microsurgical treatment on them.Methods The clinical data of 32 patients with pineal region tumors undergoing microsurgery in our hospital from 2006 to 2016 were analyzed retrospectively.Of these 32 patients,18 underwent microsurgery via Poppen approach and 4 via Krause approach.Results Of these 32 patients with pineal region tumors,20 received the total resection of the tumors and 12 subtotal.Conclusions The findings on CT and MRI are of the important value to the diagnosis of pineal region tumors.Microsurgery is an effective method to treat the pineal region tumors.
作者
汤其华
赵虎林
张剑宁
TANG Qi-hua;ZHAO Hu-lin;ZHANG Jian-ning(Department of Neurosurgery,Navy General Hospital,Beijing 100048,China)
出处
《中国临床神经外科杂志》
2018年第8期516-518,共3页
Chinese Journal of Clinical Neurosurgery
关键词
松果体区肿瘤
手术入路
显微手术
疗效
Pineal region tumors
Surgical approach
Microsurgery
Radiological images
