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目的:脑肿瘤的患者手术治疗的目的是切除肿瘤,延长生命,提高生存质量。方法:对32例累及中央沟部位的脑肿瘤患者的临床症状、手术操作、切口设计及治疗进行分析。结果:累及中央前回的13例,累及中央后回的12例,骑跨中央沟的7例。肿瘤全切的28例,大部切除的4例。术后脑功能较好的15例,略有加重,短期内恢复至术前状态的12例,5例症状加重,出院时略有恢复。结论:手术入路的设计应体现个性化,根据肿瘤的大小、部位、性质、患者的年龄和对生存质量的要求,设计手术方案,最大限度地保护脑的功能,提高患者的生存质量。
Objective: The purpose of surgical treatment of patients with brain tumors is to remove the tumor, prolong life and improve the quality of life. Methods: The clinical symptoms, surgical procedures, incision design and treatment of 32 patients with brain tumor involving the central sulcus were analyzed. Results: Thirteen patients involved the central anterior gyrus, 12 patients involved the central gyrus, and 7 patients crossed the central sulcus. Total resection of the tumor in 28 cases, most of the 4 cases of resection. After operation, 15 patients with better brain function were slightly aggravated. In the short term, 12 patients recovered to their preoperative status. Five patients had aggravated symptoms and recovered slightly at discharge. Conclusion: The design of surgical approach should be individualized. According to the size, location, nature of the tumor, patient’s age and quality of life, the surgical plan should be designed to maximize the brain function and improve the quality of life of patients.