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岛叶病变的显微外科手术治疗
作者姓名:Wang L  Zhao J
作者单位:首都医科大学附属北京天坛医院神经外科
摘    要:目的 探讨经侧裂间入路手术治疗岛叶病变2对减少邻近脑组织损伤、降低术后并发症的意义。方法 采用常规额颞开颅显微镜下由浅至深分离侧池蛛网膜,松解额颞叶连系,直接暴露岛叶病变,并行显微手术切除。结果 15例患者全切除10例,近全切除5例,术后影像证实均无铁脑组织损伤征象,亦无失语、记忆力下降等表现。15例随访1 ̄3个月,无癫痫发作,无明显记忆力下降及失语秀丽,手术效果显著。结论 经侧裂间入路是一种有效

关 键 词:神经胶质瘤  岛叶病变  显微外科手术

Operative therapy for lesions in insula
Wang L,Zhao J.Operative therapy for lesions in insula[J].National Medical Journal of China,2000,80(7):507-508.
Authors:Wang L  Zhao J
Institution:Department of Neurosurgery, Beijing TianTan Hospital. Beijing 100050, China.
Abstract:Objective To probe into the signifiance of treating lesions in insula trans sylvian approach in reducing cerebral injury in peri turmor regions and post operative complications. Methods All patients were operated on through fronto temporal approach. The key procedure was that arachnoid membrane in the sylvian should not only be splited sharply under microscope but also be splited from the superface till to tumors in the insula. Results Post operative CT showed no signs of cerebral injury. None of all the 15 patients suffered aphasia or memory change. Conclusion Trans sylvian approach is an effective operative way in treating lesions in insula.
Keywords:Glioma  Neurosurgery  Insula
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