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目的探讨侧脑室巨大肿瘤的手术方法与预后的关系。方法统计本科15年间手术和病理征实的侧脑室肿瘤的材料。结果本组14例中,男性9例,女性5例。左侧8例,右侧6例。手术全切除11例,近全切除3例,再次V-P分流3例,无手术死亡。病理证实脑膜瘤4例,星形细胞瘤(Ⅱ级)3例,室管膜瘤3例,事管膜母细胞瘤2例,室管膜瘤伴少枝胶质细胞瘤(Ⅱ级)1例,血管性伴少枝胶质细胞瘤1例。结论根据肿瘤的具体部位,采取不同的手术切口入路,以最短距离接近和切除肿瘤为原则。行颞顶枕入路6例,颞顶入路3例,颞杯入路3例,冠状切口额部入路2例。
Objective To investigate the relationship between surgical methods and prognosis of lateral ventricular giant tumors. Methods Statistics of 15 years undergraduate surgical and pathological evidence of lateral ventricle tumor material. Results The group of 14 patients, 9 males and 5 females. Left in 8 cases, right in 6 cases. Surgical resection in 11 cases, nearly total resection in 3 cases, again V-P shunt in 3 cases, no operative death. Pathological confirmed 4 cases of meningioma, 3 cases of astrocytoma (Ⅱ grade), 3 cases of ependymoma, 2 cases of meningioma, 2 cases of medulloblastoma with glia cell tumors (Ⅱ) 1 Cases, vascular adductor microglial tumor in 1 case. Conclusion According to the specific site of the tumor, different surgical incision approach, with the shortest distance approach and excision of the tumor principle. Six cases underwent temporal roof and occipital approach, three cases underwent temporal approach, three cases underwent temporo-cup approach and two posterior approach to coronal approach.