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目的探讨神经内镜手术治疗脑室内肿瘤的临床疗效及经验。方法回顾性分析16例经神经内镜手术治疗的脑室内肿瘤的临床资料,其中肿瘤单纯位于侧脑室8例,第三脑室6例,同时位于侧脑室和第三脑室2例。结果肿瘤全切除4例,部分切除8例,囊性颅咽管瘤经囊腔内置Ommaya管术后囊腔明显缩小4例。术后根据病理检查对部分病例进行放射治疗。均无明显手术并发症。随访2~36个月,平均15.7个月,无死亡病例,第三脑室内生殖细胞瘤复发1例,第三脑室内囊性颅咽管瘤囊腔扩大1例。结论神经内镜手术治疗脑室内肿瘤具有微创、手术视野好、并发症少等优点,是一种有效的诊疗手段。
Objective To investigate the clinical efficacy and experience of neuroendoscopy in the treatment of intraventricular tumors. Methods The clinical data of 16 cases of intracerebral tumors treated by endoscopic neuroendoscopy were retrospectively analyzed. Among them, 8 were located in the lateral ventricle and 6 in the third ventricle, while the tumors located in the lateral ventricle and the third ventricle in 2 patients. Results Total resection in 4 cases, partial resection in 8 cases, cystic craniopharyngioma cystic cavity built Ommaya tube was significantly reduced in 4 cases. According to the pathological examination after surgery for some cases of radiation therapy. No obvious surgical complications. All the patients were followed up for 2 to 36 months, with an average of 15.7 months. There were no deaths, 1 case of recurrent germ cell tumors in the third ventricle and 1 case of cystic cavity of cystic craniopharyngioma in the third ventricle. Conclusion Neuroendoscopic surgery for the treatment of intraventricular tumors with minimally invasive, good surgical field, fewer complications, is an effective diagnosis and treatment.