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总结神经外科35年治疗颅内肿瘤的临床经验。回顾性分析颅内肿瘤的发病率、发病年龄、发病性别、发生部位、临床主要症状和体征,影像学诊断。阶段性治疗结果为前26年手术治疗1085例,手术治疗为643例,占59.2%;手术死亡207例,占19%。后9年手术治疗1282例,手术治愈为900例,占70%;手术死亡100例,占8%。颅内良性肿瘤应尽可能全切除并保护神经系统功能。胶质瘤应尽量切除,内、外充分减压,减少神经功能损害。
Summarizes the clinical experience of neurosurgery in the treatment of intracranial tumors for 35 years. Retrospective analysis of the incidence of intracranial tumors, age of onset, gender of onset, site of occurrence, major clinical signs and symptoms, imaging diagnosis. The results of the phased treatment were 1085 cases of surgical treatment in the first 26 years, 643 cases of surgical treatment, accounting for 59.2%; 207 cases of surgical death, accounting for 19%. In the following 9 years, 1282 cases were treated by surgery, 900 cases were cured by surgery, accounting for 70%; 100 cases died by surgery, accounting for 8%. Intracranial benign tumors should be removed as much as possible and protect the nervous system. Gliomas should be removed as much as possible, and internal and external decompression should be sufficient to reduce neurological impairment.