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目的探讨显微手术切除侧脑室肿瘤的方法。方法 15例侧脑室肿瘤分别为室管膜瘤、脑膜瘤、室管膜下瘤、胶样囊肿、胶质细胞瘤、脉络丛乳头状瘤及脑血管畸形,其中7例侧脑室额角肿瘤经额中回皮质入路,2例侧脑室体部肿瘤经胼胝体前部入路,5例侧脑室三角区肿瘤经顶枕部皮质入路,1例侧脑室颞角肿瘤经颞叶皮质入路。结果除3例侧脑室额角胶质细胞瘤次全切除术后行放疗和化疗外,其余肿瘤均手术全切,所有病人术后随访6个月～1年,术后恢复良好,能参加日常工作。结论侧脑室肿瘤绝大多数可行全切术,且预后良好。
Objective To investigate the method of microsurgical removal of lateral ventricle tumors. Methods Fifteen patients with lateral ventricle tumors were ependymoma, meningioma, subependymoma, colloid cyst, glioblastoma, choroid plexus papilloma and cerebrovascular malformations respectively. Seven cases of lateral ventricle forehead tumor In the middle cortex, two cases of lateral ventricles of the body through the corpus callosum anterior approach, 5 cases of lateral ventricle triangle tumor via the occipital cortical approach, 1 case of temporal ventricle tumors via the temporal cortex approach. Results In addition to radiotherapy and chemotherapy, the remaining tumors were completely resected in 3 cases, and all the patients were followed up for 6 months to 1 year after operation. The patients recovered well after operation and could participate in routine work . Conclusion The majority of lateral ventricular tumors feasible total excision, and the prognosis is good.