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侧脑室肿瘤手术

Surgery of tumours of the lateral ventricle.

作者信息

Pendl G, Oztürk E, Haselsberger K

机构信息

Department of Neurosurgery, University of Graz, Austria.

出版信息

Acta Neurochir (Wien). 1992;116(2-4):128-36. doi: 10.1007/BF01540865.

Abstract

Tumours of the lateral ventricle in most cases enlarge significantly before signs and symptoms are exhibited. In the years between 1980 and 1991 we encountered 55 patients of all age groups with tumours of the lateral ventricle. All were diagnosed either by CT or MRI, and in lesions with good enhancement on CT additional angiography was performed. All 55 tumours were operated upon using microsurgical techniques. The approach was chosen according to the location of the tumour, preferably transcortical. In selected cases large tumours were removed in a two-stage operation. Only in one frontal horn and Cella media tumour an interhemispheric transcallosal approach was used. Postoperative or surgically related mortality was experienced in 3 cases. Life expectancy and morbidity were dependent upon histology.

摘要

大多数情况下,侧脑室肿瘤在出现体征和症状之前就已显著增大。在1980年至1991年期间,我们收治了55例各年龄段的侧脑室肿瘤患者。所有患者均通过CT或MRI确诊,对于CT上强化良好的病变,还进行了额外的血管造影。所有55例肿瘤均采用显微外科技术进行手术。手术入路根据肿瘤位置选择,首选经皮质入路。在部分病例中,大型肿瘤采用两阶段手术切除。仅1例额角和第三脑室肿瘤采用了经胼胝体间入路。3例患者出现了术后或与手术相关的死亡。预期寿命和发病率取决于组织学类型。

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