26例松果体区肿瘤显微手术探讨

目的探讨显微手术切除松果体区肿瘤的方法和治疗经验。方法回顾性分析26例经显微手术切除的松果体区肿瘤患者的临床资料和随访结果。结果26例中19例采用Poppen入路,7例采用Krause入路。全切15例,次全切除5例,大部分切除6例。随访3个月~7年,肿瘤未见复发17例,复发2例（1例再手术）,植物状态生存1例,死亡2例（术后因瘤卒中死亡1例,术后2年死亡1例）,4例失随访。结论显微手术是松果体区肿瘤治疗的首选方法,Poppen入路是一种较理想的入路。

Microsurgery for Pineal Region Tumors (a Report of 26 cases)

Objective To summarize the experience in treating the pineal region tumors with microsurgery. Methods The clinical data of 26 patients with pineal region tumors, who underwent microsurgery from May, 2001 to February, 2009, were analyzed retrospectively. Results Of 26 patients, 19 underwent microsurgery through Poppen approach, and 7 through Krause approach. The tumors were totally removed in 15 patients, subtotally in 5 and partially in 6. Of 22 patients followed up from 3 months to 7 years, 17 were recovered well, 2 suffered from the recurrence of the tumors, 1 survived vegetatively and 2 died （1 died of tumor bleeding after the microsurgery and the other died 2 years after the microsurgery）. Conclusions Microsurgical resection was first selected for treatment of the pineal tumors and the microsurgery through Poppen approach was worthy of recommending in the patients with pineal region tumors.