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目的 :总结第三脑室后部和松果体区肿瘤手术治疗经验。方法 :分析 1990年 1月至 2 0 0 0年 6月间 2 7例第三脑室后部和松果体区肿瘤手术适应证、手术入路及操作要点 ,并对影响预后的因素进行分析。结果 :2 7例肿瘤中 ,全切 11例 ,次全切除 7例 ,部分切除 5例 ,取病理加分流 4例。随访 17例中 ,患者生存 5年以上 13例。结论 :第三脑室后部及松果体区肿瘤大部分可通过手术切除 ,取得较好的效果。手术可取得充裕的组织标本明确肿瘤性质 ,为下一步放、化疗打下基础。治疗核心是安全有效地切除肿瘤
Objective: To summarize the experiences of surgical treatment of tumors in the posterior portion of the third ventricle and in the pineal region. Methods: From January 1990 to June 2000, 27 cases of posterior ventricles of the third ventricle and pineal region tumor surgical indications, surgical approach and operation points, and factors that affect the prognosis were analyzed. Results: Twenty-seven cases of total tumor were resected in 11 cases, subtotal resection in 7 cases, partial resection in 5 cases and pathology plus shunt in 4 cases. Follow-up in 17 cases, the patients survived for more than 5 years in 13 cases. Conclusion: Most of the tumors in the posterior portion of the third ventricle and in the pineal region can be surgically removed to obtain better results. Surgery can obtain ample tissue specimens clear tumor nature, laid the foundation for the next step, chemotherapy. The core of care is the safe and effective removal of the tumor