期刊文献+

海马及岛叶胶质瘤的手术治疗 被引量:9

Surgical Treatment of Gliomas in Hippocampus and Insular Lobe
下载PDF
导出
摘要 目的提高海马及岛叶胶质瘤的诊断治疗效果。方法回顾性总结近年来我们经外侧裂显微外科治疗的11例海马及7例岛叶的胶质瘤的临床表现、诊断、手术方式的选择与预后。结果显微镜下肿瘤全切除11例,次全切除4例,大部分切除3例。术后病理按WHO分级分类,星形细胞瘤11例,间变型星形细胞瘤4例,少突胶质细胞瘤3例。术后症状较术前明显改善13例,无变化3例,加重2例,无手术死亡。结论术前充分了解肿瘤的解剖位置和周围结构的毗邻关系,充分利用脑组织的自然解剖间隙,采用显微外科技术切除肿瘤是影响肿瘤切除及其预后的重要因素。 Objective To improve the diagnostic and curative effect on gliomas in the hippocampus and insular lobe. Methods The clinical data, including clinical manifestations, diagnosis, surgical form and prognosis of 18 patients with hippocampal or insular gliomas, who underwent microsurgery through the lateral fissures, were analysed retrospectively. Of 18 cases of gliomas, 11 were in hippocampus and 7 in the insular lobe. Results Of 18 caseas of gliomas, 11 were totally resected, 4 subtotally and 3 in great part. According to WHO classification of glioma pathology, 11 were astrocytomas, 4 anaplastic astrocytomas and 3 olidendromas. The postoperative symptoms were significantly improved in 13 cases, unchanged in 3 and deteriorated in 2. There was not dead case. Conclusion On the base of familiar microanatomy of the cerebral fissures and skillful microneurosurgical techniques, the good curative effects of microsurgery on hippocampal and insular gliomas can be expected.
出处 《中国临床神经外科杂志》 2006年第2期77-79,共3页 Chinese Journal of Clinical Neurosurgery
关键词 胶质瘤 海马 岛叶 手术治疗 Glioma Hippocampus Insular lobe Microsurgery
  • 相关文献

参考文献9

  • 1陈谦学.边缘系统胶质瘤的研究进展[J].国外医学(神经病学.神经外科学分册),2001,28(3):168-170. 被引量:15
  • 2史继新,王汉东,杭春华,谢伟,潘云曦,成惠林,印红霞,刘承基,张祖暄.边缘系统低级别胶质瘤[J].中华神经外科杂志,1999,15(2):69-71. 被引量:15
  • 3Ture U,Yasargil DC,A1-Mefty O,et al.Topographic anatomy of the insular region [J].J Neurosurg,1999,90(4):720~733.
  • 4Duffau H,Capelle L,Lopes M,et al.The insular lobe:physiopathological and surgical considerations [J].Neurosurgery,2000,47(4):801~811.
  • 5Ture U,Yasagil MG,Friedman AH,et al.Fiber dissection technique lateral aspect of the brain [J].Neurosurgery,2000,47(2):417~427.
  • 6Varnavas OG,Granc W.The insular cortex:morphological and vascular anatomic characteristics [J].Neurosurgery,1999,44(1):127~138.
  • 7Yasargil MG,Krisht AF,Ture UX,et al.Microsurgey of insular gliomas part Ⅰ.Surgical anatomy of the sylvian cistern [J].Contemp Neurosurg,2002,24(11):1~8.
  • 8Yasagil MG,Krisht AF,Ture U,et al.Microsurgey of insular gliomas part Ⅱ.Opening of the sylvian fissure[J].Contemp Neurosurg,2002,24(12):1~6.
  • 9Lang FF,Nancy E,Olansen NF,et al.Surgical resection of intrinsic insular tumors:complication avoidance [J].J Neurosurg,2001,95(4):638~650.

二级参考文献18

  • 1王亚威 张培林 等.嗅脑、海马、杏仁核簇及边缘系统.神经解剖学[M].北京:人民卫生出版社,1987.477-491.
  • 2王亚威,神经解剖学,1987年,477页
  • 3Yakovlev PI. Pathoar Chitectonic studies of cerebral malformations. J Neuropath Exp Neurol, 1959,18:22
  • 4Klingler J, Gloor P. The connections of the amygdala and of the anterior temporal Cortex in human brain. J Comp Neurol,1960,115:333
  • 5Pandya DN, van Hoesen GW, Domesick V. A Cinguloamygdaloid projection in the rhesus monkey. Brain Res, 1973,61:369- 373
  • 6Pandya DN, van Hoesen GW, Mesulam M. Efferent Connections of the Cingulate gyrus in the rhesus monkey. Exp Brain Res,1981,42(3- 4):319 - 330
  • 7Wolf BS, Huang YP. The insula and deep middle cerebral venous system: normal anatomy and angiography. Am J Roentgenol, 1963,90:472
  • 8Huang YP, Wolf BS. Veins of the white matter of the cerebral hemispheres(themedullary veins). Am J Roentgenol, 1964,92:739
  • 9Yasargil MG,Smith RD, Young PH , et al . Perforating arteries to the basal ganglia and brainstem. Microneurosurgery, 1994,1:144
  • 10Fried I, Kim JH, Spencer DD. Limbic and cortical gliomas asssocited with intractable Seizures: a distinct clinicopathological group. Neurosurgery,1994,34:815 - 823

共引文献27

同被引文献74

引证文献9

二级引证文献33

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部