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目的:探讨应用显微外科手术广泛切除边缘系统胶质瘤的方法和疗效。方法:回顾分析2000年1月-2003年5月应用显微外科手术广泛切除的边缘系统胶质瘤10例,术后常规化疗或(和)放疗,6-12个月中复查头颅CT或MRI观察病灶区域的情况,随访其疗效。结果:患者均行广泛性边缘系统肿瘤全切除术。病理检查:星形细胞瘤Ⅰ级6例.Ⅰ-Ⅱ级3例,少枝胶质细胞瘤1例。围手术期情况均良好,无手术死亡。10例患者均获门诊随访,其中最长3年5个月,最短10个月。、早期复查头颅CT,未见明显肿瘤残留。近期复查头颅CT或MRI,尚未发现肿瘤复发征象。结论:应用显微外科手术广泛切除边缘系统胶质瘤.辅助化疗或(和)放疗是有效治疗方法之一,无明显后遗症。
Objective: To explore the method and effect of extensive resection of limbic glioma using microsurgery. Methods: Ten cases of marginal gliomas widely excised by microsurgery from January 2000 to May 2003 were retrospectively reviewed. Conventional chemotherapy or radiotherapy and postoperative 6-12 months were retrospectively reviewed. Observation of the lesion area, follow-up of its efficacy. Results: The patients underwent extensive marginal system tumor resection. Pathological examination: astrocytoma Ⅰ grade 6 cases.Ⅰ-Ⅱ grade in 3 cases, 1 cases of gioblastoma. Perioperative conditions are good, no operative death. Ten patients were clinically followed up, up to 3 years and 5 months, the shortest 10 months. Early review head CT, no significant tumor residue. Recent review skull CT or MRI, no signs of tumor recurrence. Conclusion: Microsurgical surgical removal of the limbic gliomas is extensive, and adjuvant chemotherapy and / or radiotherapy is an effective treatment without obvious sequelae.