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目的:探讨中央区脑肿瘤的外科治疗方法。方法:选取2009年1月至2011年1月我院收治的接受中央区脑肿瘤手术治疗的50例患者为研究对象。对比患者手术前后恢复情况。结果:对50例中央区脑肿瘤患者行手术治疗,术后24小时,7例患者对侧肢体肌力相对于术前有所下降;术后1周之内,36例患者对侧肢体肌力下降,2至3周之后,这种状况逐渐恢复。对患者进行为期1年的随访,随访6个月、1年时,11例胶质瘤患者肌力无显著下降情况;2例胶质母细胞瘤放化疗后,随访6个月,肌力无明显下降,但出现癫痫发作,且治愈无效,术后10个月肿瘤复发,放弃治疗。4例转移瘤随访6个月时,1例因肿瘤复发,死亡;随访1年时,2例因复发放弃治疗,1例行放化疗肌力无显著下降;33例脑膜瘤患者预后良好,恢复正常的工作生活,其中1例患者癫痫发作,经对症治疗后得到控制。结论:全切除肿瘤和保护脑功能两者结合是中央区脑肿瘤有效的外科治疗方法,值得临床推广。
Objective: To investigate the surgical treatment of brain tumors in central area. Methods: Fifty patients admitted to our hospital from January 2009 to January 2011 undergoing surgical treatment of brain tumor in the central area were selected as the study subjects. Comparison of patients before and after surgery to restore the situation. Results: Fifty patients with brain tumors in the central area underwent surgery. At 24 hours after operation, the strength of the contralateral limbs in 7 patients decreased compared with that before operation. Within 1 week after surgery, 36 patients had contralateral limb muscle strength Decline, 2 to 3 weeks later, this condition gradually recovered. The patients were followed up for 1 year, followed up for 6 months. At 1 year, there was no significant decrease in muscle strength of 11 glioma patients. After 2 cases of glioblastoma were followed up for 6 months, Significant decline, but the emergence of seizures, and cure ineffective, 10 months after tumor recurrence, to give up treatment. One patient died of tumor recurrence and died after 6 months of follow-up. One patient was relapsed after one year of follow-up. There was no significant decrease in strength of one patient after radiotherapy and chemotherapy. The prognosis of 33 patients with meningioma was good and recovered Normal working life, including 1 case of seizures, after symptomatic treatment was controlled. Conclusion: The combination of total resection of tumor and protection of brain function is an effective surgical treatment of brain tumors in the central area, which is worthy of clinical promotion.