Zozulia Iu A, Polishchuk N E, Slyn'ko E I
Zh Vopr Neirokhir Im N N Burdenko. 1998 Jan-Mar(1):6-10.
The study included 12 operated patients with medullocervical gliomas. Two of them had hemangioblastomas, 6-ependymomas, 4-astrocytomas with different degree of dedifferentiation. The gross total tumor removals were achieved in 4 patients with ependymomas and patient with hemangioblastomas. Two patients with ependymomas and one with hemangioblastoma had their tumors removed subtotally. All astrocytomas were partially excised. The neurological long tract signs were alleviated almost in all ependymoma and hemangioblastoma patients after surgery. Complication rate was the highest in the astrocytoma group. The authors discussed indications and contraindications for surgery depending on the tumor type.
该研究纳入了12例接受手术治疗的延髓颈髓胶质瘤患者。其中2例为血管母细胞瘤，6例为室管膜瘤，4例为不同程度去分化的星形细胞瘤。4例室管膜瘤患者和1例血管母细胞瘤患者实现了肿瘤全切。2例室管膜瘤患者和1例血管母细胞瘤患者肿瘤次全切除。所有星形细胞瘤均行部分切除。几乎所有室管膜瘤和血管母细胞瘤患者术后神经长束征均得到缓解。星形细胞瘤组的并发症发生率最高。作者根据肿瘤类型讨论了手术的适应证和禁忌证。
