神经导航下岛叶胶质瘤的显微外科治 疗简

目的总结神经导航下显微手术切除岛叶胶质瘤的经验。方法回顾性分析20例岛叶胶质瘤的病例资料，癫痫发作12例，头痛7例，轻偏瘫1例。肿瘤位于左侧12例，右侧8例。均在神经导航下行显微外科手术。结果肿瘤全切除12例，近全切除4例，部分切除4例，无手术死亡病例。术后早期发生偏瘫5例，失语2例，偏瘫和失语3例。经术后3个月随访，病人仍有轻偏瘫2例和失语1例。结论在神经导航下经额颞开颅、外侧裂入路，应用显微外科技术进行手术治疗是岛叶胶质瘤较理想的治疗方法。

Microsurgical treatment of insular glioma under neuronavigation

Objective To summarize the microsurgical experience with insular glioma using neuronavigation. Methods Clinical data of 20 patients with insular glioma were analyzed retrospectively. There were seizures in 12 patients, headache in 7 and hemiparesis in 1 patient. Tumor was located at the left side in 12 patients and the right in 8. Microsurgery was performed using neuronavigation. Results Total tumor resection was achieved in 12 patients, subtotal resection in 4 and partial resection in 4. There was no operative death. The postoperative complications included hemiplegia in 5 patients, aphasia in 2 and both hemiplegia and aphasia in 3. After 3 months of follow-up, there were mild hemiplegia in 2 patients and mild aphasia in 1. Conclusions Frontotemporal craniotomy via transsylvian approach using microsurgical technique under neuronavigation is a safe and effective treatment for insular glioma.