| 脑胶质瘤的微创治疗(附60例分析) |
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| 引用本文： | 王宏伟,谢晨,徐延斌,岳武,王智.脑胶质瘤的微创治疗(附60例分析)[J].中国微侵袭神经外科杂志,2008,13(9). |
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| 作者姓名： | 王宏伟 谢晨 徐延斌 岳武 王智 |
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| 作者单位： | 1. 哈尔滨医科大学附属第四医院神经外二科,黑龙江,哈尔滨,150001
2. 华中科技大学同济医学院附属同济医院神经外科,湖北,武汉,430030 |
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| 基金项目： | 黑龙江省教育厅科学技术研究项目 |
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| 摘 要： | 目的探讨神经导航微创手术结合激光光动力(PDT)疗法治疗脑胶质瘤的疗效。方法回顾性分析60例脑胶质瘤病例。应用GE 350磁导航系统行精确定位,在实时导航监测下行显微手术切除肿瘤,对其中40例深部肿瘤采用锁孔手术路径;术后行PDT疗法30例。结果肿瘤全切除52例(86.7%),次全切除5例(8.3%),大部切除3例(5.0%)。术后出现新的神经功能缺失4例。术后第4天因多器官功能衰竭死亡1例。结论采用微创技术切除脑胶质瘤,能够最大限度地减少手术副损伤,降低手术并发症;结合采用PDT疗法,能明显提高病人生活质量,延长生存时间。
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| 关 键 词： | 神经胶质瘤 神经导航 锁孔入路 外科手术 最小侵入性 光化学疗法 |
Minimally invasive treatment for gliomas: report of 60 cases |
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| Institution: | WANG Hongwei; XIE Chen; XU Yanbin; et al. Second Department of Neurosurgery; Fourth Affiliated Hospital of Harbin Medical University; Harbin 150001; China; |
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| Abstract: | Objective To explore the therapeutical effect of neuronavigation keyhole surgery in combination with photodynamic therapy(PDT) for gliomas.Method Sixteen patients with gliomas were analyzed retrospectively.Tumor was exactly located by GE 350 neuronavigation system and resected using microsurgical techniques.Forty patients with deep-seated gliomas were operated on via keyhole approach.Thirty patients were treated with PDT after tumor resection.Results Glioma was totally removed in 52 cases(86.7%),subtotally ... |
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| Keywords: | glioma neuronavigation keyhole surgery surgical procedures minimally invasive photochemotherapy |
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