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目的 :提高儿童第四脑室肿瘤的手术效果。方法 :回顾分析我院收治的 3 6例儿童第四脑室肿瘤的临床资料 ,术前均行头颅MRI检查 ,采用显微外科手术治疗。 2 0例术中配合脑室外引流。结果 :肿瘤全切除 2 8例 ,次全切除 6例 ,部分切除 2例。 6例术后脑积水 ,1例术后缄默症 ,1例死于颅内感染。临床治愈 2 6例 ,症状改善 8例。结论 :头颅MRI能良好显示这类肿瘤。术前仔细研究影像资料 ,术中选择合适部位分离切除肿瘤 ,显微操作 ,减少出血 ,积极预防术后并发症是提高手术质量的关键
Objective: To improve the surgical effect of the fourth ventricle tumor in children. Methods: A retrospective analysis of 36 cases of children admitted to our hospital in the fourth ventricle of the clinical data of the brain, MRI were performed before surgery, the use of microsurgery. 20 cases with intraoperative brain drainage. Results: Tumor resection in 28 cases, subtotal resection in 6 cases, partial resection in 2 cases. 6 cases of postoperative hydrocephalus, 1 case of postoperative mutism, 1 patient died of intracranial infection. Clinical cure 26 cases, symptoms improved in 8 cases. Conclusion: Head MRI is a good indication of such tumors. Preoperative careful study of imaging data, select the appropriate surgical removal of the tumor site, microsurgery, reduce bleeding, and actively prevent postoperative complications is to improve the quality of the surgery key