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目的总结35例侧脑室肿瘤的主要临床表现、手术入路,探讨侧脑室脑膜瘤的手术入路选择原则,以提高侧脑室肿瘤的全切率,减少并发症,改善手术效果。方法对35例侧脑室肿瘤进行回顾性分析,本组按肿瘤中心部位不同分别采用不同的手术入路,运用显微外科手术切除肿瘤。结果手术全切肿瘤25例,大部分切除8例,部分切除2例,无手术死亡。结论根据肿瘤的大小、位置、血液供应以及有无脑积水等综合考虑,选择合适的手术入路,合理运用显微手术技术切除侧脑室肿瘤,可获得良好的手术效果。
Objective To summarize the main clinical manifestations and surgical approaches of 35 patients with lateral ventricle tumors and to explore the principle of surgical approaches for the treatment of lateral ventricular meningioma in order to improve the rate of total cut in lateral ventricle tumors and reduce complications and improve the surgical outcome. Methods 35 cases of lateral ventricle tumors were retrospectively analyzed. In this group, different surgical approaches were adopted according to the different tumor centers, and the tumors were removed by microsurgery. Results Totally 25 patients underwent total resection of the tumor. Most of them were resected in 8 cases and partially resected in 2 cases, with no operative death. Conclusion According to the tumor size, location, blood supply and hydrocephalus with or without hydrocephalus, select the appropriate surgical approach, the rational use of microsurgical techniques resection of lateral ventricle tumors, can obtain good surgical results.