[边缘系统及旁边缘系统胶质瘤的临床病理特征与显微外科治疗]
[Clinicopathologic characteristics and microsurgical treatment of glioma of limbic and paralimbic system].
作者信息
Liu Meng, Liu Yu-guang, Zhang Liang-wen, Wang Hong-wei, Zhu Shu-gan, Wu Cheng-yuan
机构信息
Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan 250012, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2005 Jul 1;43(13):882-4.
OBJECTIVE
To explore the features of the clinical manifestations, imaging, pathology and microsurgery on the patients with gliomas of limbic and paralimbic system.
METHODS
The clinical data of 28 patients with gliomas of limbic and paralimbic system were analyzed respectively.
RESULTS
Seizure was the most common symptom, presented in 24 cases. CT scans showed hypodensity in 19 cases and isodensity in 9 cases. MRI scans were achieved in 23 cases, showing hypointense signal on T(1)WI and hyperintense signal on T(2)WI. Total resection was achieved in 19 cases, subtotal in 6 cases and partial in 3 cases. All patients had excellent postoperative recovery, except 5 patients who developed temporary frontal aphasia and 6 patients who developed contralateral hemiplegia. The patients had a postoperative follow-up ranging from 6 months to 5 years, and 23 cases still survived.
CONCLUSION
High-resolution CT and MRI may reveal the size, location, confines and sharp demarcation of the tumors. Gliomas can be microsurgically removed with considerable results.
目的
探讨边缘系统及边缘旁系统胶质瘤患者的临床表现、影像学、病理学及显微手术特点。
方法
分别分析28例边缘系统及边缘旁系统胶质瘤患者的临床资料。
结果
癫痫是最常见症状，24例出现。CT扫描显示19例为低密度，9例为等密度。23例行MRI扫描，T(1)WI呈低信号，T(2)WI呈高信号。19例全切除，6例次全切除，3例部分切除。除5例出现暂时性额叶失语和6例出现对侧偏瘫外，所有患者术后恢复良好。患者术后随访6个月至5年，23例仍存活。
结论
高分辨率CT和MRI可显示肿瘤的大小、位置、边界及清晰的分界。胶质瘤可通过显微手术切除并取得相当好的效果。
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