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第三脑室肿瘤的手术入路,自Dandy以来,有各种入路,即Dandy的切除右额叶经Monro孔入路,Poppen的切开右额叶经Monro孔入路、Van Wagenen枕叶切开经侧脑室入路,Dandy的经胼胝体松果体部肿瘤摘除,Jamieson的枕下经小脑幕入路,Steln的幕下小脑上入路等.不论做法如何都要避免损伤脑实质,特别是第三脑室周围重要组织,而且极力避免牺牲动静脉,否则术后将产生严重合并症.为了摘除第三脑室肿瘤,无论如何不应损伤第三脑室壁,终板是第三脑室最薄的部分,即视交叉后视
The surgical approaches for the third ventricle tumor have been various approaches since Dandy, namely Dandy’s resection of the right frontal lobe via the Monro hole approach, Poppen’s incision of the right frontal lobe via the Monro approach, Van Wagenen occipital lobe approach. The opening of the lateral ventricle approach, Dandy’s transvaginal pineal tumor removal, Jamieson’s suboccipital approach through the cerebellar ventricle, Steln’s sub-cerebellar approach, etc. No matter how the practice should be avoided to damage the brain parenchyma, especially the first Important tissues around the third ventricle, and to avoid sacrificing arterial veins, or serious complications after surgery. In order to remove the third ventricle tumor, in any case should not damage the third ventricle wall, end plate is the thinnest part of the third ventricle, Intersect rear view