摘要
目的 总结四脑室室管膜瘤的临床特点及显微外科治疗经验。方法 回顾性分析2012年1月至2015年6月我院显微手术治疗的19例四脑室室管膜瘤患者的临床资料。结果 肿瘤全切除15例（78.9%）,次全切除4例（21.1%）。术后发生并发症5例,其中眼球活动受限2例,小脑缄默症1例,颅内感染1例,呼吸困难1例。随访1-38个月,术前症状均改善,未见肿瘤复发。结论 显微外科手术是治疗四脑室室管膜瘤的有效手段,最大限度切除肿瘤、最大程度保留脑干功能以及解除脑脊液梗阻,可获得良好预后。
Objective To summarize the clinical features and the experience for the microsurgery of forth ventricle ependymoma. Methods The clinical data of 19 patients with forth ven- tricle ependymoma in our hospital between January 2012 to June 2015 were analyzed retrospectively. All the patients received microsurgery. Results Tumor were completely resected in 15 cases（78.9 %）, subtotal resected in 4 cases （21.1%）. Complications after Surgery included： 2 cases eyeballs motive inhibition, 1 cerebellum tourism, 1 intracranial infection and 1 dyspnea. Followed -up from 1 to 38 months, all the patients recovered well, and no tumor recurrence. Conclusion Microsurgery is an effective method for treatment of the fourth ventricle ependymoma. Maximizing the removal of the tumor, protectingthe normal brain function as much as possible and removing cerebrospinal fluid obstruction can help patients obtain a good prognosis.
出处
《立体定向和功能性神经外科杂志》
2015年第3期149-151,共3页
Chinese Journal of Stereotactic and Functional Neurosurgery
基金
脑功能与脑疾病安徽省重点实验室绩效考核补助项目(编号:1506c085017)
