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目的总结23例侧脑室肿瘤的主要临床表现,手术方式和临床效果,以提高侧脑室肿瘤的全切率,减少并发症,改善手术效果。方法回顾性分析23例侧脑室肿瘤患者的临床特点和预后,术前以CT、MR I作为诊断和设计手术入路的主要依据。其中经皮质入路20例,经额胼胝体3例,运用显微外科手术切除肿瘤。结果手术全切16例,次全切4例,大部分切除3例,无手术死亡。结论选择合适的手术入路,运用显微手术切除侧脑室肿瘤,可获得良好的手术效果。
Objective To summarize the main clinical manifestations, surgical modalities and clinical effects of 23 patients with lateral ventricle tumors in order to improve the rate of lateral ventricular tumor resection, reduce the complications and improve the surgical outcome. Methods The clinical features and prognosis of 23 patients with lateral ventricle tumors were retrospectively analyzed. CT and MRI were used as the main basis for the diagnosis and design of the surgical approach before operation. Including transcortical approach in 20 cases, the amount of corpus callosum in 3 cases, the use of microsurgery to remove the tumor. Results 16 cases of total surgical resection, subtotal cut in 4 cases, most of the resection in 3 cases, no operative death. Conclusion Select the appropriate surgical approach, the use of microsurgery resection of lateral ventricle tumors, can obtain good surgical results.