干旱区生态环境知识资源中心(Arid): 中央沟附近胶质瘤的诊断和手术治疗

Arid

	中央沟附近胶质瘤的诊断和手术治疗
其他题名	Diagnosis and surgical treatment of glioma near central sulcus
	楼美清; 卢亦成; 丁学华; 白如林; 张光霁; 胡国汉; 骆纯; 侯立军; 王驹
来源期刊	中华神经外科杂志
ISSN	1001-2346
出版年	2004
卷号	20 期号:3 页码:218-221
中文摘要	目的提高中央沟附近胶质瘤的手术治疗效果,改善生活质量.方法回顾性总结1995年至2001年我科治疗的中央沟附近87例胶质瘤的临床表现、诊断和手术方式的选择与预后.结果87例胶质瘤中,肿瘤主体位于中央沟前38例,位于中央沟后30例,主体位于中央沟下方19例.临床上首发症状为癫痫的62例,以进行性一侧肢体无力15例,以头痛等颅内压增高症状为主要表现起病的10例.术后病理提示星形细胞瘤58例,少突胶质瘤细胞瘤20例,少突胶质细胞与星形细胞混合瘤6例,胶质细胞增生3例.按Kernohan分级分类,其中星形细胞瘤中星形细胞瘤Ⅰ级6例,星形细胞瘤Ⅱ级29例,星形细胞瘤Ⅲ-Ⅳ级23例;少突胶质细胞瘤中Ⅰ级6例,Ⅱ级14例.在肉眼下肿瘤全切除70例,次全切除17例.术后肢体功能障碍较术前减轻20例,不变25例,短期加重而后肢体恢复的有12例,加重30例,无手术死亡.结论术前要充分了解肿瘤的解剖位置和周围结构的毗邻关系,采用显微外科技术在软膜下切除肿瘤,保护中央沟静脉解剖和功能的完整,是手术的关键.
英文摘要	Objective To improve the result of surgical treatment on patients with glioma near central sulcus. To improve patients quality of life. Methods The clinical features, diagnosis pattern, the choice of operative approaches and prognosis in a total of 87 cases with glioma near central sulcus between 1995,1 -2001, 12. were reviewed retrospectively. Results Of the 87 patients with glioma, the principal part of tumor was located anterior to central sulcus in 38 cases, posterior to central sulcus in 30 cases and underbeneath central sulcus in 19 oases. Initial symptoms showed seizures in 62 cases .presented unilateral limb weakness progressively in 15 cases, presented increased intranraniai pressure symptoms such as headache in 10 cases. Pathological results showed astrocytoma 58 cases, oligiodendroglioma 20 cases, astrocytoma and oligiodendroglioma mixed glioma 6 cases, gliosis 3 cases. According to Kemohan classification, there were 6 cases of astrocytoma grade I , 29 cases of astrocytoma grade II, 23 cases of astrocytoma grade III -IV; and there are 6 cases of oligodendroglioma grade I, 14 cases of nligodendroglioma grade II. There were 70 cases with tumor total removed and 17 cases with subtotal removed under nude eyes. There were 20 cases with the disturbance of limli function alleviated after operation , 25 cases no change in limb function , 12 cases with limb disturbance aggravated and then alleviated after a short period after operation, there were 30 cases with the limb function deterioration after operation, there were no surgical death. Conclusion It is necessary to make a clear distinction between location of tumor and surrounding structure in glioma near central sulcus, microneurosurgical technique should be used to remove tumor under pia mater, it is key note during operation that we should protect central sulcus vein under anatomic and functional intact.
中文关键词	胶质瘤 ; 中央沟静脉 ; 诊断 ; 治疗
英文关键词	Glioma Central sulcus Diagnosis Therapy
语种	中文
国家	中国
收录类别	CSCD
WOS类目	SURGERY
WOS研究方向	Surgery
CSCD记录号	CSCD:1601818
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/205839
作者单位	上海市长征医院神经外科, 200003
推荐引用方式 GB/T 7714	楼美清,卢亦成,丁学华,等. 中央沟附近胶质瘤的诊断和手术治疗[J],2004,20(3):218-221.
APA	楼美清.,卢亦成.,丁学华.,白如林.,张光霁.,...&王驹.(2004).中央沟附近胶质瘤的诊断和手术治疗.中华神经外科杂志,20(3),218-221.
MLA	楼美清,et al."中央沟附近胶质瘤的诊断和手术治疗".中华神经外科杂志 20.3(2004):218-221.