显微手术治疗侧脑室三角区肿瘤回顾性分析(附15例报道)

目的 探讨侧脑室三角区肿瘤手术入路、操作、术后并发症及预后情况.方法 对青岛市立医院神经外科自2005年1月至2009年4月经显微手术治疗的15例侧脑室三角区肿瘤患者的临床资料进行回顾性分析.结果 肿瘤全切13例,次全切除1例,大部切除1例;1例出现意识障碍,术后26 d死亡;术后感染2例,出现一过性硬膜下积液7例,脑室粘连造成术侧颞角扩大2例;13例GOS预后评分5分,1例GOS预后评分4分.结论 切除侧脑室三角区肿瘤的几种不同手术入路有着各自的优缺点,手术方式应根据肿瘤生长的特点个性化选择,最少的手术并发症及神经缺失是手术追求的目标.

Microsurgical treatment of tumor in lateral ventricle trigone: a retrospective analysis of 15 cases

Objective To investigate the surgical approaches, technics, complications and prognosis to tumors in the lateral ventricle trigone. Methods A retrospective analysis was conducted in 15 patients admitted to our hospital and performed microsurgery to tumors in the lateral ventricle trigone from January 2005 to April 2009. Results Total resection was achieved in 13 patients, subtotal resection in 1 and partial resection in 1; 1 patient died 26 dafter the operation; CNS infections appeared in 2 patients, temporary subdural effusion in 7, and temporal horn enlargement in 2. Thirteen patients got 5 scores and 1 got 4 sores in the Glasgow outcome scale (GOS). Conclusions There exist different approaches in the resection of tumors in the lateral ventricle trigone, with their respective advantages and disadvantages. Surgical method should have a personalized choice based on the characteristics of tumor growth. Less surgical complications and low neurologic deficits are the goal of surgery.