微创手术入路治疗扣带回肿瘤27例报告

为总结经大脑半球间裂微创手术入路治疗扣带回肿瘤的效果 ,对天坛医院神经外科 2 0 0 1年 1月至 2 0 0 3年 4月间经手术治疗的扣带回肿瘤 2 7例进行回顾性分析。 2 7例中手术全切 2 2例 ,近全切除 5例 ;病理上以低分级胶质瘤为主 (n =2 5) ,术后除 2例出现对侧肢体轻偏瘫外 ,其余患者肢体活动均正常 ,术后认知功能良好。提示 :扣带回肿瘤多见于中青年人 ,肿瘤常局限于扣带回内生长 ,一般不侵犯邻近的区域 ,病理上以低分级胶质瘤为主 ,沿大脑半球间裂入路可以达到安全切除病变的目的 ,该手术入路符合微创手术的理念

Surgical Treatment of Lesions in Cingulate Gyrus with Minimal Invasive Approach

The aim was to summarize postoperative results of lesions in the cingulate gyrus via trans- interhemispheric fissure approach. The surgical results of 27 cases of lesions i n the cingulate gyrus were studied retrospectively. Total resection occurred in 22 cases, subtotal resection in 5 cases. Low-grade glioma was the commonest pat h ological type ( n =25). Except 2 cases occurred postoperative hemiplegia i n the opposite side, the other 25cases were in normal condition and with normal cognitive funtion. Trans-interhemispheric-fissure approach is the most suitabl e way in treating lesions of the cingulate gyrus, which is in accordance with th e concept of minimal invasive surgery.