| 儿童视神经胶质瘤 |
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| 引用本文： | 杨军,张玉琪,马振宇,王亚明.儿童视神经胶质瘤[J].中国微侵袭神经外科杂志,2002,7(4):195-197. |
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| 作者姓名： | 杨军 张玉琪 马振宇 王亚明 |
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| 作者单位： | 首都医科大学北京市神经外科研究所,北京,100050 |
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| 摘 要： | 目的：总结儿童视神经胶质瘤的临床特点和治疗经验。方法：回顾分析过去7年间我科收治的18例儿童视神经胶质瘤的临床资料。结果：本组18例，占同期住院儿童颅内肿瘤的1．0％，发病平均年龄为7．9岁，男女之比为5：4。根据术前临床和影像表现将其分为3类：肿瘤为视神经型占16．7％；弥漫性视交叉型占11．1％；视交叉－下丘脑外生型占72．2％。显微手术全切和近全切除率达88．9％，术后尿崩及电解质紊乱（38．9％）较多见。结论：儿童视神经胶质瘤为良性肿瘤，预后较好，手术切除和及时处理术后并发症、恰当的和疗是治疗的关键。
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| 关 键 词： | 视神经胶质瘤 儿童 显微外科 并发症 临床表现 影像学诊断 |
| 文章编号： | 1009-122X(2002)04-0195-03 |
| 修稿时间： | 2002年3月25日 |
Optic gliomas in children |
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| YANG Jun,ZHANG Yuqi,MA Zhenyu,et al..Optic gliomas in children[J].Chinese Journal of Minimally Invasive Neurosurgery,2002,7(4):195-197. |
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| Authors: | YANG Jun ZHANG Yuqi MA Zhenyu |
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| Institution: | YANG Jun,ZHANG Yuqi,MA Zhenyu,et al.Capital Medical University.Beijing Neurosurgery Institute.Deptarment of Neurosurgery,Tiantan Hospital of Beijing.Beijing,100050,China |
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| Abstract: | Objective To summarize the clinical characteristics and therapeutic experience of optic gliomas in children.Method The clinical data of18patients of our department in the past7years were analyzed.Result In this series,childhood optic gliomas represented1.0%of all intracranial tumors in children,the average age was7.9years,the ratio of boys to girls was5:4.Based on the preoperative manifestation and imaging,the tumors were classified into three types:the optic nerve type(16.7%),the diffuse chiasm type(11.1%),and the chiasm-hypothalamustype(72.2%).Almost88.9%of the tumors was totally or sub-totallyremoved.Diabetes insipidus and electrolyte disturbances(63.6%)were the most common postoperative complications.Conclusion The optic glioma is a benign intracranial tumor with good prognosis.The key point of treatment is surgical resection combined with proper postoperative radiotherapy. |
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| Keywords: | optic glioma children microsurgery complication |
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