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婴幼儿及儿童后颅窝肿瘤的外科治疗:技术与结果

Surgical treatment of posterior fossa tumors in infancy and childhood: techniques and results.

作者信息

Voth D, Schwarz M, Geissler M

机构信息

Neurosurgical Clinic, Johannes Gutenberg-University, Mainz, Fed. Rep. of Germany.

出版信息

Neurosurg Rev. 1993;16(2):135-43. doi: 10.1007/BF00258246.

DOI:10.1007/BF00258246
PMID:8345907
Abstract

In a collective of 72 children with tumors of the posterior fossa, the preoperative diagnosis, operation planning and performance, and use of additional procedures, like the preliminary ventricular drainage and interventriculostomy are described. The extent of intra- and postoperative complications is given. Postoperative lethality was 0% in the group operated on between 1979 and 1991. The responsible factors are discussed. The findings support the opinion of ALBRIGHT (1989) that the prognosis for such patients is most promising in the hands of a specialist in pediatric neurosurgery.

摘要

在一个由72名患有后颅窝肿瘤的儿童组成的群体中,描述了术前诊断、手术规划与实施,以及额外手术步骤(如初步脑室引流和脑室造瘘术)的使用情况。给出了术中和术后并发症的程度。在1979年至1991年间接受手术的组中,术后死亡率为0%。对相关因素进行了讨论。这些发现支持了阿尔布莱特(1989年)的观点,即对于此类患者,在小儿神经外科专家手中预后最有希望。

相似文献

1
Surgical treatment of posterior fossa tumors in infancy and childhood: techniques and results.婴幼儿及儿童后颅窝肿瘤的外科治疗:技术与结果
Neurosurg Rev. 1993;16(2):135-43. doi: 10.1007/BF00258246.
2
[Shunt surgery in occlusive processes in the posterior cranial fossa of children].
Zh Vopr Neirokhir Im N N Burdenko. 1987 May-Jun(3):22-6.
3
External ventricular drainage in the management of posterior fossa tumors in children and adolescents.
Neurosurgery. 1982 Jan;10(1):13-5.
4
Posterior fossa tumors in children--indications for ventricular drainage and for V-P shunting.儿童后颅窝肿瘤——脑室引流及脑室-腹腔分流术的适应证
Childs Nerv Syst. 1998 Jun;14(6):227-9. doi: 10.1007/s003810050217.
5
Posterior cranial fossa surgery in 454 children. Comparison of results obtained in pre-CT and CT era and after various types of management of dura mater.
Childs Nerv Syst. 1998 Sep;14(9):426-38; discussion 439. doi: 10.1007/s003810050255.
6
Description of posterior fossa syndrome in children after posterior fossa brain tumor surgery.
J Pediatr Oncol Nurs. 1995 Oct;12(4):181-7. doi: 10.1177/104345429501200402.
7
Management of hydrocephalus in pediatric patients with posterior fossa tumors: the role of endoscopic third ventriculostomy.小儿后颅窝肿瘤患者脑积水的管理:内镜下第三脑室造瘘术的作用
J Neurosurg. 2001 Nov;95(5):791-7. doi: 10.3171/jns.2001.95.5.0791.
8
[Surgery of brain tumors in childhood].
Minerva Med. 1984 Jun 8;75(24):1427-31.
9
[External ventricular drainage in surgery of the posterior fossa in children (30 cases)].[小儿后颅窝手术中外侧脑室引流(30例)]
Minerva Anestesiol. 1989 Apr;55(4):189-91.
10
[Postoperative mutism in children with the posterior fossa tumors].[后颅窝肿瘤患儿术后缄默症]
Zh Vopr Neirokhir Im N N Burdenko. 2001 Jan-Mar(1):6-9; discussion 10.

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