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本文报告经脉络裂入路处理三脑室病变8例,并介绍了手术方法。该入路的优点在于:①脉络裂系侧脑室壁最薄弱的部位,经此甚易进入三脑室;②不切断穹窿,术后无记忆缺失之虞;③显露好,特别适用于三脑室中部,也适用于三脑室前部或后部病变。作者认为,对三脑室前中部病变,可分别通过脉络裂和室间孔这一“8”字形入路处理,而无需将二者之间的室间孔后缘切开,从而避免了结扎切断丘纹静脉可能带来的不良后果。
This article reports the treatment of ventricle meridian rupture pathological changes in 8 cases, and introduced the surgical methods. The advantages of this approach are: ① the rupture of the ventricular fissure line of the weakest part of the ventricle wall, after this very easy to enter the third ventricle; ② does not cut off the dome, no memory loss of postoperative risk; ③ revealed a good, especially for the middle of the third ventricle , Also applies to the anterior or posterior third ventricle lesions. The author believes that the middle of the anterior ventriculocutaneous lesions, respectively, through the rupture of the ventricle and the “8” glyph approach, without the need for the trabecular between the two between the cut to avoid the ligation of cut-off mound Venous vein may have adverse consequences.