[1]王 一 崔焕喜 林令超 孙思辉 李绍山 周庆九 刘 波 柳 琛.侧脑室三角区脑膜瘤的显微手术治疗[J].中国临床神经外科杂志,2016,(03):161-163.[doi:10.13798/j.issn.1009-153X.2016.03.010]
 WANG Yi,CUI Huan-xi,LIN Ling-chao,et al.Microsurgery for meningiomas in the trigones of lateral ventricles (report of 47 cases)[J].,2016,(03):161-163.[doi:10.13798/j.issn.1009-153X.2016.03.010]
点击复制

侧脑室三角区脑膜瘤的显微手术治疗()
分享到:

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

卷:
期数:
2016年03期
页码:
161-163
栏目:
论著
出版日期:
2016-03-25

文章信息/Info

Title:
Microsurgery for meningiomas in the trigones of lateral ventricles (report of 47 cases)
文章编号:
1009-153X(2016)03-0161-03
作者:
王 一 崔焕喜 林令超 孙思辉 李绍山 周庆九 刘 波 柳 琛
830054 乌鲁木齐,新疆医科大学第一附属医院神经外科
通讯作者:柳 琛,E-mail:lchxj1952@163.com
Author(s):
WANG Yi CUI Huan-xi LIN Ling-chao SUN Si-hui LI Shao-shan ZHOU Qing-jiu LIU Bo LIU Chen.
Department of Neurosurgery, The First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China
关键词:
脑膜瘤侧脑室三角区显微手术经皮层入路经脑沟入路疗效
Keywords:
Meningiomas Trigone Lateral ventricle Microsurgical approach
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.03.010
文献标志码:
A
摘要:
目的 探讨侧脑室三角区脑膜瘤手术方法及其疗效。方法 2008年3月至2015年8月手术治疗侧脑室三角区脑膜瘤47例,采用经皮层入路25例、经脑沟入路22例。结果 47例肿瘤按SimpsonⅠ级全部切除,无手术死亡病例。经脑沟入路术后并发症发生率(22.7%)明显低于经皮层入路(60.%;P<0.05)。47例术后随访1~12个月,平均为6个月。神经系统功能障碍有不同程度地改善,复查ct、mri未见肿瘤复发;按gos评分评估预后,经脑沟入路手术的患者中,5分12例(54.5%),4分7例,3分2例,2分1例;经皮层入路手术的患者中,5分2例(8.0%),4分4例,3分8例,2分11例;两者预后良好率差异显著(>P<0.05)。>结论 经脑沟入路切除侧脑室三角区脑膜瘤符合微侵袭手术理念,术中辅助超声可以提高肿瘤的全切率并降低术后并发症的发生率,预后也较好,是较理想的手术方式;但是对于肿瘤较大、颅内压明显增高的患者,采用经皮层入路是较好的选择。
Abstract:
Objective To investigate the different microsurgical fashions treating the ventricular meningiomas in the trigones of lateral ventricles and their effects on them. Method The clinical data of 47 patients with meningiomas in the trigones of lateral ventricles, of whom, 25 were treated by microsurgery via transcortical approach and 22 were treated via trans-sulcal approach, from March, 2008 to August, 2015, were analyzed. Results Total resection of the tumors was reached in all the patients. No patient died from the microsurgery. The incidence of postoperative complication in the patients treated by the microsurgery via trans-sulcal approach is significantly lower than that in the patients by the microsurgery via transcortical approach (P<0.05).>Conclusions The microsurgery via trans-sulcal approach can reduce the incidence of the postoperative complications in the patients with meningiomas in the trigones of lateral ventricles treated by microsurgery because it is of less side-injury of operation and intra-operative ultrasound may be used. But the microsurgery via tanscortical approach should be recommended in the patients with huge trigonal meningiomas.

参考文献/References:

[1] Nakamura M, Roser F, Bundschuh O, et al. Intraventricular meningioma: a review of 16 cases with reference to literature [J]. Surg Neurol, 2003, 59(6): 491-504.
[2] Bertalanffy A, Roessler K, Koperek O, et al. Intraventricular meningiomas: a report of 16 cases [J]. Neurosurg Rev, 2006, 29: 30-35.
[3] Liu M, Wei Y, Liu Y, et al. Intraventricular meninisiomas: a report of 25 case [J]. Neurosurg Rev, 2006, 29: 36-40.
[4] DeMonte F. Surgical treatment of anterior basal meningio- mas [J]. Neurosurg, 1996, 29(3): 239-248.
[5] Choi JW, Jung S, Jung TY, et al. Modified trans-middle ternporal gyms approach for trigonal tumor to preserve visual field [J]. Korean Neumsurg Soe, 2011, 50: 538-541.
[6] 张天一,廖达光,刘飞,等.顶叶入路显微手术切除左侧 侧脑室三角区脑膜瘤 [J]. 医学临床研究,2005,22: 1673-1674.
[7] Liu M, Wei Y, Liu Y, et al. Intraventricular meninigiomas: a report of 25 cases [J]. Neurosurg Rev, 2006, 29: 36-40.
[8] Bhatoe HS, Singh P, Dutta V. Intraventricular meningiomas: a clinieopathological study and review [J]. Neumsurg Focus, 2006, 20: E9.
[9] 张懋植,王 磊,赵继宗,等. 脑沟人路手术切除侧脑室三 角区病变(附35例报告)[J]. 中国微侵袭神经外科杂志, 2003,8:59-61.
[10] 王光华,马 骏,程立刚,等. 侧脑室三角区脑膜瘤的手术 治疗(附44例报告)[J]. 中华神经外科杂志,2013,29: 441-445.
[11] 张建党,赵洪洋. 68例颅内大型脑膜瘤的显微手术治疗 [J]. 中国临床神经外科杂志,2007,11:652-654.

相似文献/References:

[1]王林风 郑华山 操 廉.中央沟区矢状窦旁脑膜瘤的显微手术治疗(附25例报告)[J].中国临床神经外科杂志,2016,(07):431.[doi:10.13798/j.issn.1009-153X.2016.07.014]
[2]邓学云 刘 毅 范润金 刘丽华 夏祥国.E-cadherin与脑膜瘤分级及瘤周水肿的关系[J].中国临床神经外科杂志,2016,(04):213.[doi:10.13798/j.issn.1009-153X.2016.04.007]
 DENG Xue-yun,LIU Yi,FAN Run-jin,et al.Relationship of E-cadherin with the pathological grade of meningioma and peritumoral brain edema in patients with meningioma[J].,2016,(03):213.[doi:10.13798/j.issn.1009-153X.2016.04.007]
[3]马 磊 张海红 郭 康 孙树凯 张 亮 贾 栋.神经导航辅助下手术治疗侧脑室脑膜瘤1例[J].中国临床神经外科杂志,2016,(04):255.[doi:10.13798/j.issn.1009-153X.2016.04.023]
[4]王 鹏 综述 王 勇 审校.岩斜区脑膜瘤的手术入路[J].中国临床神经外科杂志,2016,(02):120.[doi:10.13798/j.issn.1009-153X.2016.02.024]
[5]漆松涛 刘 忆.关于WHO2007年版脑膜瘤病理分类一些问题的商榷[J].中国临床神经外科杂志,2016,(02):125.[doi:10.13798/j.issn.1009-153X.2016.02.026]
[6]李登辉 程 荆 李志强.镰旁脑膜瘤术后并发格林巴利综合征1例[J].中国临床神经外科杂志,2016,(02):72.[doi:10.13798/j.issn.1009-153X.2016.02.003]
[7]肖宗宇 陈晓娟 裴 杰 贺瑛福 许常林 马进海.超声吸引器在脑膜瘤手术切除中的应用[J].中国临床神经外科杂志,2015,(10):626.[doi:10.13798/j.issn.1009-153X.2015.10.016]
[8]杨 俊 吴雪松 莫鸿忠 潘荣南 赖 杰.双源CT三维血管成像技术在脑膜瘤术前评估中的应用[J].中国临床神经外科杂志,2015,(06):347.[doi:10.13798/j.issn.1009-153X.2015.06.009]
 YANG Jun,WU Xue-song,MO Hong-zhong,et al.Application of three-dimensional dual-source CT angiography to preoperative assessment of meningiomas[J].,2015,(03):347.[doi:10.13798/j.issn.1009-153X.2015.06.009]
[9]袁国强 周旺宁 魏乃礼 王晓清 马克君 苏 愚 粱文涛 潘亚文.依脑膜瘤MLH1启动子甲基化水平及临床意义[J].中国临床神经外科杂志,2015,(03):158.[doi:10.13798/j.issn.1009-153X.2015.03.010]
 YUAN Guo-qiang,ZHOU Wang-ning,WEI Nai-li,et al.Level of MLH1 pomoter methylation and its clinical meanings in meningiomas[J].,2015,(03):158.[doi:10.13798/j.issn.1009-153X.2015.03.010]
[10]杨静波 李仕广.桥小脑角区脑膜瘤与内听道及颅神经关系的MRI特征分析[J].中国临床神经外科杂志,2015,(03):172.[doi:10.13798/j.issn.1009-153X.2015.03.016]
[11]李春坡 郑 军 李海元 边 涛 韩安国.侧脑室三角区小型脑膜瘤的显微外科治疗[J].中国临床神经外科杂志,2015,(11):694.[doi:10.13798/j.issn.1009-153X.2015.11.018]
[12]王 雷 简志宏 易 伟 王 峻 连海伟 余信远 丁 昊 刘仁忠.经顶枕入路手术切除侧脑室三角区脑膜瘤[J].中国临床神经外科杂志,2016,(10):615.[doi:10.13798/j.issn.1009-153X.2016.10.016]
[13]刘 羽,谢 涛,毛 峰,等.角回后方皮层入路显微手术切除侧脑室三角区脑膜瘤[J].中国临床神经外科杂志,2016,(11):667.[doi:10.13798/j.issn.1009-153X.2016.11.005]
 LIU Yu,XIE Tao,MAO Feng,et al.Microsurgery through transcortical approach behind the angular gyrus for lateral ventricle trigone meningiomas[J].,2016,(03):667.[doi:10.13798/j.issn.1009-153X.2016.11.005]

更新日期/Last Update: 2016-06-30