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目的探讨侧脑室肿瘤的显微外科手术策略方法回顾性分析17例侧脑室肿瘤患者的临床表现、影像学特点和显微外科手术方式。根据肿瘤的部位和大小选择最佳的手术入路,本组均采用经脑皮层入路。显微外科技术切除肿瘤,7例应用神经导航,5例应用内窥镜辅助手术。结果肿瘤全切除11例,次全切除4例,部分切除2例。术后临床症状改善16例,死亡1例。结论根据侧脑室肿瘤的起源位置和生长方式选择最佳手术入路,经皮层入路是一种较好的选择。神经导航、内窥镜辅助显微外科手术运用,提高了肿瘤的切除程度,降低了术后并发症。
Objective To investigate the microsurgery strategy in patients with lateral ventricle tumors. The clinical manifestations, imaging features and microsurgery of 17 patients with lateral ventricle tumors were retrospectively analyzed. According to the location of the tumor and the size of the selection of the best surgical approach, this group are used by the cortical approach. Neoplasms were removed by microsurgery, with neurological navigation in 7 cases and endoscopic assisted surgery in 5 cases. Results Total resection in 11 cases, subtotal resection in 4 cases, partial resection in 2 cases. Postoperative clinical symptoms improved in 16 cases, 1 died. Conclusion According to the origin and location of the lateral ventricle tumor, the best surgical approach is selected. The transcortical approach is a better choice. Nerve navigation, endoscopic microsurgery assisted surgery to improve the degree of tumor resection, reducing postoperative complications.