[1]韦　可　姚国杰　陈大瑜　杜　威　伍　杰.儿童幕下毛细胞星形细胞瘤的显微手术治疗[J].中国临床神经外科杂志,2020,(10):677-679.[doi:10.13798/j.issn.1009-153X.2020.10.006]
　WEI Ke,YAO Guo-jie,CHEN Da-yu,et al.Microsurgical treatment for subtentorial pilocystic astrocytomas in childhood[J].,2020,(10):677-679.[doi:10.13798/j.issn.1009-153X.2020.10.006]
点击复制

儿童幕下毛细胞星形细胞瘤的显微手术治疗()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2020年10期
页码:
677-679
栏目:
论著
出版日期:
2020-10-25

文章信息/Info

Title:
Microsurgical treatment for subtentorial pilocystic astrocytomas in childhood
文章编号:
1009-153X（2020）10-0677-03
作者:
韦　可　姚国杰　陈大瑜　杜　威　伍　杰
430070 武汉，中国人民解放军中部战区总医院神经外科、中国人民解放军神经外科研究所、国家级重点学科神经外科（韦　可、姚国杰、陈大瑜、杜　威、伍　杰）
Author(s):
WEI Ke;  YAO Guo-jie;  CHEN Da-yu;  DU Wei;  WU Jie.
Department of Neurosurgery, General Hospital of Central Theater Command, PLA, Wuhan 430070, China
关键词:
颅内幕下肿瘤; 毛细胞星形细胞瘤; 儿童; Ommaya储液囊; 显微手术
Keywords:
Subtentorial pilocystic astrocytoma;  Children;  Ommaya;  Microsurgery
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2020.10.006
文献标志码:
A
摘要:
目的 探讨儿童幕下毛细胞星形细胞瘤（PA）显微手术治疗效果及手术要点。方法 回顾性分析2018年3月~2019年11月显微手术治疗8例儿童幕下PA的临床资料。3例未合并梗阻性脑积水，直接行显微手术切除肿瘤；5例并发梗阻性脑积水，先行Ommaya储液囊外引流术，3~5 d后行肿瘤切除术。结果 8例肿瘤均全切除，术后病理检查为PA。术后症状明显好转，未发生并发症状。5例合并梗阻性脑积水Ommaya储液囊外引流术后随访半年脑室系统逐步缩小，避免了脑室-腹腔分流术。结论 儿童幕下PA的手术效果良好；对于合并梗阻性脑积水病人先行Ommaya储液囊外引流是非常必要的，操作简单，可提高肿瘤切除的安全性，避免脑室-腹腔分流术。
Abstract:
Objective To expore the effect of microsurgery on the subtentorial pilocystic astrocytomas in childhood and the operation essentials. Methods The clinical data of 8 children with subtentorial pilocystic astrocytoma who underwent microsurgery from March 2018 to November 2019 were analyzed retropsectively. Of 8 children, 3 children without obstructive hydrocephalus received microsurgery, and the other 5 patients with obstructive hydrocephalus received Ommaya external drainage first and then received microsurgery 3~5 days later. Results Total tumor removal was achieved and the pathological results showed locystic astrocytoma in all the patients. Symptoms were relieved obviously and no complications occurred after the operation. Of the 5 patients with obstructive hydrocephalus, the ventricular system deflated obviously during the follow-up and no patients needed the ventriculoperitoneal shunt. Conclusions Microsurgery is a good treatment method for the subtentorial pilocystic astrocytomas in children. Resection of the tumor as much as possible is needed. For children with obstructive hydrocephalus, preoperative Ommaya external drainage is necessary, because it is simple, and can improve the safety of tumor resection and avoid ventricular-abdominal shunt.

参考文献/References:

[1] 亓　蓉，王林红，刘丹丹，等. 幕下毛细胞星形细胞瘤的MRI诊断与鉴别诊断[J]. 中国中西医结合影像学杂志，2016，14（6）：704-706.
[2] 李美蓉，张忠阳，李惠民，等. 儿童颅内毛细胞星形细胞瘤的MRI表现[J]. 实用放射学杂志，2013，29（2）：261-264.
[3] 王　佳，葛　明. 儿童颅后窝肿瘤合并非交通性脑积水的治疗策略[J]. 中国微侵袭神经外科杂志，2019，24（1）：42-45.
[4] 张春燕，张庆江. Ommaya囊在小儿神经外科疾病治疗中的应用[J]. 医学信息，2019，32（4）：47-49.
[5] Yang XT, Feng DF, Zhao L, et al. Application of the Omma-ya reservoir in managing ventricular hemorrhage [J]. World Neurosurg, 2016, 89: 93-100.
[6] Ruairi W, Caroline O, Christina H. The use of Ommayareservoirs to deliver central nervous system-directed chemotherapy in childhood acute lymphoblastic leukaemia [J]. Paediatr Drugs, 2018, 20(4): 293-301.
[7] Roguski M, Rughani A, Lin CT, et al. Survival followingOmmaya reservoir placement for neoplastic meningitis [J]. J Clin Neurosci, 2015, 22(9): 1467-72.
[8] Peyrl A, Chocholous M, Azizi AA, et al. Safety of Ommaya reservoirs in children with brain tumors: a 20-year experi-ence with 5472 intraventricular drug administrations in 98 patients [J]. J Neuro-oncol, 2014, 120(1): 139-145.
[9] 朱国华，范雁东，苏日青，等. 后颅窝毛细胞星形细胞瘤的显微外科手术治疗[J]. 中国微创外科杂志，2014，14（10）： 927-929.

相似文献/References:

[1]葛怡宁　幸　兵　姚　勇　邓　侃　王任直.颅咽管瘤合并毛细胞星形细胞瘤1例[J].中国临床神经外科杂志,2016,(05):319.[doi:10.13798/j.issn.1009-153X.2016.05.023]

备注/Memo

备注/Memo:
2020-08-22收稿，2020-09-22修回
通讯作者：姚国杰，E-mail：yaoguojie@sina.com
更新日期/Last Update: 2020-10-20