[1]汤其华 赵虎林 张剑宁.松果体区肿瘤的显微外科治疗[J].中国临床神经外科杂志,2018,(08):516-518.[doi:doi:10.13798/j.issn.1009-153X.2018.08.002]
 TANG Qi-hua,ZHAO Hu-lin,ZHANG Jian-ning..Diagnosis and microsurgical therapy of the pineal region tumors (report of 32 cases)[J].,2018,(08):516-518.[doi:doi:10.13798/j.issn.1009-153X.2018.08.002]
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松果体区肿瘤的显微外科治疗()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年08期
页码:
516-518
栏目:
论著
出版日期:
2018-08-25

文章信息/Info

Title:
Diagnosis and microsurgical therapy of the pineal region tumors (report of 32 cases)
文章编号:
1009-153X(2018)08-0516-03
作者:
汤其华 赵虎林 张剑宁
作者单位:100048 北京,海军总医院神经外科(汤其华、赵虎林、张剑宁)
Author(s):
TANG Qi-hua ZHAO Hu-lin ZHANG Jian-ning.
Department of Neurosurgery, Navy General Hospital, Beijing 100048, China
关键词:
松果体区肿瘤手术入路显微手术疗效
Keywords:
Pineal region tumors Surgical approach Microsurgery Radiological images
分类号:
R 739.41; R 651.1+1
DOI:
doi:10.13798/j.issn.1009-153X.2018.08.002
文献标志码:
A
摘要:
目的 探讨松果体区肿瘤的显微手术方法及治疗效果。方法 回顾性分析2006年11月至2016年11月手术治疗的32例松果体区肿瘤的临床资料。结果 18例采用枕下小脑幕上入路,14例采用幕下小脑上入路;肿瘤全切除20例,次全切除12例,无围手术期死亡。32例术后随访6个月至10年。术后3个月KPS评分100分26例,90分3例,80分1例,70分1例,60分1例。术后复发6例,均行γ刀治疗,再次手术5例,其中4死亡。结论 影像学特点、临床表现及实验室检查,对定性诊断松果体区肿瘤有很大帮助;大多数松果体区肿瘤采用显微手术切除可获得良好疗效。
Abstract:
Objective To discuss the imaging findings of the pineal region tumors and effect of microsurgical treatment on them. Methods The clinical data of 32 patients with pineal region tumors undergoing microsurgery in our hospital from 2006 to 2016 were analyzed retrospectively. Of these 32 patients, 18 underwent microsurgery via Poppen approach and 4 via Krause approach. Results Of these 32 patients with pineal region tumors, 20 received the total resection of the tumors and 12 subtotal. Conclusions The findings on CT and MRI are of the important value to the diagnosis of pineal region tumors. Microsurgery is an effective method to treat the pineal region tumors.

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备注/Memo

备注/Memo:
通讯作者:张剑宁,E-mail:jnzhang2005@163.com
更新日期/Last Update: 2018-09-07