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第三脑室胶样囊肿,新的手术分类。

Third Ventricular Colloid Cyst, New Surgical Classification.

机构信息

Department of Surgery, Ibn Sina University of Medical and Pharmaceutical Sciences, Baghdad, Iraq.

Department of Surgery, Dr. Saad AL-Witry Hospital for Neurosciences, Baghdad, Iraq.

出版信息

World Neurosurg. 2024 Jul;187:e63-e76. doi: 10.1016/j.wneu.2024.03.170. Epub 2024 Apr 8.

Abstract

BACKGROUND

This research discusses colloid cyst surgical concerns, with an emphasis on the value of a novel surgical classification based on anatomical sites. In the study, 59 patients who underwent surgical intervention between 2009 and 2022 and were diagnosed with colloid cysts via computed tomography scan and magnetic resonance imaging participated.

METHODS

There were more male cases than female ones (57.6%). The majority of patients presented with headache (79%), followed by abnormal gait (12%), visual blurring (5%), and seizures (4%).

RESULTS

In this study, we present a new surgical classification based on anatomical locations, distinguishing 4 types: open Monro type (50.84%), closed Monro type (23.72%), retroforaminal type (13.55%), and interforniceal type (11.86%).

CONCLUSIONS

In summary, the surgical classification that has been suggested provides significant insights into the varied anatomical sites where colloid cysts might be found. Microneurosurgeons significantly need to be oriented about the possible sites of colloid cysts through this classification to achieve complete and curative resection and reduce the likelihood of recurrence.

摘要

背景

本研究探讨了胶样囊肿的手术关注点,重点介绍了一种基于解剖部位的新型手术分类的价值。在这项研究中,共有 59 名患者于 2009 年至 2022 年间接受了手术干预,通过计算机断层扫描和磁共振成像诊断为胶样囊肿。

方法

男性病例多于女性(57.6%)。大多数患者表现为头痛(79%),其次是步态异常(12%)、视力模糊(5%)和癫痫发作(4%)。

结果

本研究提出了一种基于解剖部位的新的手术分类,区分了 4 种类型:开放 Monro 型(50.84%)、闭合 Monro 型(23.72%)、穹隆后型(13.55%)和中间帆隔型(11.86%)。

结论

总之,所提出的手术分类为胶样囊肿可能存在的不同解剖部位提供了重要的见解。通过这种分类,神经外科医生需要明确胶样囊肿的可能部位,以实现完全和治愈性切除,并降低复发的可能性。

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