临床神经外科杂志2019，Vol.16Issue(1)：17-21,28,6.DOI:10.3969/j.issn.1672-7770.2019.01.004
"脑室型"胼胝体胶质瘤的手术治疗
Microsurgical treatment of "intraventricular type" corpus callosum glioma
摘要
Abstract
Objective To investigate the microsurgical effect of "intraventricular type"corpus callosum glioma. Methods The clinical data, microsurgical treatment and pathological results of 12 cases of "Intraventricular type"corpus callosum gliomas treated in the First Teaching Hospital of Xinjiang Medical University from January 2015 to January 2018 were analyzed retrospectively. The degree of tumor resection and the postoperative clinical performance were evaluated. The follow-up was carried out by telephone and outpatient clinic. Results 9 cases received subtotal resection and 3 received partial resection. 9 were glioblastoma WHO Ⅳ grade, 2 were diffused astrocytoma WHOⅡ grade and 1 was anaplastic astrocytoma WHO Ⅲ grade. Postoperative symptoms of cranial hypertension improved in 7 cases, speech disorder improved in 1, cognitive impairment improved in 1 case and gatism improved in 2 cases. 7 cases of postoperative KPS score was＞ 60 and 5 cases was＜ 60. The follow-up from 3 months to 3 years showed 2 cases survived and the others all died.Conclusions "Intraventricular type"corpus callosum glioma usually combines with intracranial hypertension, cognitive dysfunction and obstructive hydrocephalus. The operation is difficult and risky because of its deep position and extensive invasion. The tumor seldom receives total resection.Most of them are glioblastoma, this histopathology result doomed to poor prognosis. The short-term effect of microsurgical treatment for "intraventricular type"corpus callosum glioma is better. It can effectively relieve the symptoms of intracranial hypertension and improve the quality of life of patients.关键词
"脑室型"胼胝体胶质瘤/显微外科手术Key words
"intraventricular type"corpus callosum glioma/microsurgery treatment分类
医药卫生引用本文复制引用
付强,李绍山,魏康康,刘波,周庆九.."脑室型"胼胝体胶质瘤的手术治疗[J].临床神经外科杂志,2019,16(1):17-21,28,6.基金项目
新疆医科大学第一附属医院院内科学自然基金-青年基金 (2015ZRQN15) （2015ZRQN15）
