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22例松果体区肿瘤直视手术,男16例,女6例。年龄7～39岁。10例做Conray脑室造影检查,12例做颅脑CT检查,均获定位诊断。手术入路采用额部经侧脑室入路(EropoB氏法)和侧枕部入路(Poppen氏法)。肿瘤全切除7例,其中6例痊愈,1例死亡。肿瘤次全切除10例,其中9例良好,1例死亡。肿瘤部分切除5例,均有好转。本文对两种手术入路进行了比较,认为侧枕部入路优越性多;并着重对临床特点、诊断和直视手术治疗进行了讨论。
22 cases of pineal region tumor surgery, 16 males and 6 females. Age 7 to 39 years old. 10 cases of Conray ventriculography, 12 cases of brain CT examination, were positioning diagnosis. Surgical approach using forehead by the lateral ventricle approach (EropoB’s method) and lateral occipital approach (Poppen’s method). Tumor resection in 7 cases, of which 6 recovered, 1 patient died. Tumor subtotal resection in 10 cases, of which 9 were good and 1 died. Tumor resection in 5 cases, both improved. This article compares the two surgical approaches and considers the superiority of the lateral occipital approach; moreover, the clinical features, diagnosis and direct-viewing surgical treatment are discussed.