摘要
目的探讨切除岛叶胶质瘤而又不伤及周边正常结构的显微手术技巧。方法回顾性分析2008年9月～2011年10月我院手术治疗的16例患者,神经导航下经侧裂入路显微手术切除并经病理确诊的岛叶胶质瘤的术中技巧,总结术中重要血管的保护、周边正常结构的确认及保护。结果本组经手术全切肿瘤10例,次全切4例,部分切除2例。结论神经导航下经侧裂入路的显微手术,可最大程度地暴露肿瘤与其周围结构的解剖关系,从而达到术中尽可能切除肿瘤而同时保护周边正常结构的目的。
【Objective】 To explore the microsurgical techniques for insular glioma without damaging its surrounding normal structures.【Methods】 We retrospectively analyzed 16 patients with insular glioma who underwent microsurgical operation with Neuronavigation by trans-syvian fissure approach between September,2008 and October,2011 in our Hospital.We discussed the techniques in the operation and summarized how to protect the key blood vessels,distinguish and protect the surrounding normal structures.【Results】 There were 10 complete removals,4 secondary complete removals,and 2 partial removals.【Conclusion】 The microsurgery with Neuronavigation by means of trans-syvian fissure approach can well expose the anatomical relation between tumor and its surrounding structures,so that we can remove the tumor and protect the surrounding normal tissues as much as we can.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2012年第21期66-68,共3页
China Journal of Modern Medicine
关键词
岛叶胶质瘤
显微外科
手术技巧
insular glioma； microsurgery； operation technique；
