论文部分内容阅读
我们采用冷冻外科切除脑瘤8例,其中男5例,女3例,年龄23~56岁。主要症状和体征有头痛、反应迟钝、情感淡漠、记忆力下降。思维障碍7例,癫痫、脑膜刺激症状、嗅觉和视力障碍各1例,偏瘫6例,颅内压增高、眼底视乳头血管变化有渗出或出血5例,CT检查示密度增高病变区4例,呈低、等混合密度病变区3例,呈低密度改变者1例。 8例均于全麻下常规开颅显露病灶区,经冷冻2~3分钟后手术切除肿瘤,瘤床再次冷冻2~3分钟自然复温。术中出血明显减少,仅输血200~400ml,术后恢复顺利。肿瘤位于额叶3例,颞叶1例,枕叶1例,
We use cryosurgical resection of brain tumor in 8 cases, including 5 males and 3 females, aged 23 to 56 years. The main symptoms and signs of headache, unresponsive, apathetic, memory loss. 7 cases of mental disorders, 1 case of epilepsy, meningeal irritation, olfactory and visual impairment, 6 cases of hemiplegia, increased intracranial pressure, exudation or hemorrhage of fundus papillae, 4 cases of high density lesions , Low, mixed density lesions in 3 cases, 1 case of low density changes. 8 cases were routine craniotomy revealed under general anesthesia lesions, frozen 2 to 3 minutes after surgery to remove the tumor, the tumor bed frozen again 2 to 3 minutes of natural rewarming. Intraoperative bleeding was significantly reduced, only blood transfusion 200 ~ 400ml, postoperative recovery was successful. The tumor was located in 3 cases of frontal lobe, 1 case of temporal lobe, 1 case of occipital lobe,