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目的总结原发扣带回胶质瘤的临床特点、显微外科手术方法及疗效。方法回顾性分析2009年1月-2013年4月经手术治疗及病理证实的56例原发扣带回胶质瘤患者的临床资料。结果患者首发症状以癫痫为主。在电生理和B超辅助下,手术全切40例,近全切除11例;部分切除5例。病理结果星形细胞瘤34例,少枝胶质细胞瘤10例,间变星形细胞瘤5例,胶质母细胞瘤7例。82%肿瘤位于扣带回前部,18%肿瘤位于扣带回后部。结论扣带回胶质瘤是少见肿瘤,癫痫发作是其主要首发症状,显微外科手术切除是有效方法。术中电生理监测和术中B超是重要的辅助手段。
Objective To summarize the clinical features of primary cingulate gynecological glioma, microsurgical methods and efficacy. Methods The clinical data of 56 patients with primary cingulate gliomas confirmed by surgery and pathology from January 2009 to April 2013 were retrospectively analyzed. Results The first symptom of patients with epilepsy. In electrophysiological and B-assisted, 40 cases of complete resection, near total resection in 11 cases; partial resection in 5 cases. Pathological findings 34 cases of astrocytoma, 10 cases of gioblastoma, 5 cases of anaplastic astrocytoma, 7 cases of glioblastoma. 82% of the tumors were located in front of the cingulate tract and 18% of the tumors were located in the cingulate back. Conclusions Cingulate glioma is a rare tumor, and seizure is its main symptom. Microsurgical resection is an effective method. Intraoperative electrophysiological monitoring and intraoperative ultrasound B is an important adjunct.