摘要
目的总结透明膈肿瘤的临床特点及其手术治疗效果。方法重点对经手术及病理证实的30例透明膈肿瘤进行回顾性分析。结果26例病人具有高颅压征。采用经额中回造瘘25例,半球间经胼胝体入路5例。手术死亡5例(16.7%);术后失语及偏瘫10例,单纯失语者6例。病理显示中枢神经细胞瘤15例。术后因迟发性脑积水行脑室-腹腔分流术2例。结论透明膈肿瘤常以高颅压症状为主要表现,发现时肿瘤体积多已很大。手术仍是目前主要的治疗手段,但术后并发症多,病死率高。选择适宜的手术入路,注意深静脉的保护和严格的手术止血是取得良好效果的关键。
Objective To summarize the clinical features and postoperative results about the lesions of the septum pellucidum. Methods 30 cases of lesions of the septum pellucidum were analysed retrospectively. Results 26 cases presented with symptoms of hyperintracranial pressure. 25 cases were operated via transcortical approach in the middle frontal gyrus, and 5 cases via transcallosal approach. 24 cases achieved total resection, subtotal resection in 6 cases. Postoperative complications include dysphasia and hemiplegia in 10 cases or only dysphasia in 6 cases. After tumor resection, 2 patients received ventricle-peritoneal shunt for delayed-onset hydrocephalus. Five patients died of postoperative cerebral edema hemorrhage. Conclusion The main manifestations of lesions of the septum pellucidum are symptoms relating to hyperintracranial pressure. The lesion could not be found at early stage until it is large enough. At present, surgery is the major therapeutic method. The key point in getting fine results includes selecting the appropriate surgical approach, protecting deep veins and rigid hemostasis.
出处
《中国微侵袭神经外科杂志》
CAS
2003年第8期352-354,共3页
Chinese Journal of Minimally Invasive Neurosurgery
基金
北京市科委基金资助项目(955510160)
