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为总结经大脑半球间裂微创手术入路治疗扣带回肿瘤的效果 ,对天坛医院神经外科 2 0 0 1年 1月至 2 0 0 3年 4月间经手术治疗的扣带回肿瘤 2 7例进行回顾性分析。 2 7例中手术全切 2 2例 ,近全切除 5例 ;病理上以低分级胶质瘤为主 (n =2 5) ,术后除 2例出现对侧肢体轻偏瘫外 ,其余患者肢体活动均正常 ,术后认知功能良好。提示 :扣带回肿瘤多见于中青年人 ,肿瘤常局限于扣带回内生长 ,一般不侵犯邻近的区域 ,病理上以低分级胶质瘤为主 ,沿大脑半球间裂入路可以达到安全切除病变的目的 ,该手术入路符合微创手术的理念
To summarize the minimally invasive surgical treatment of hemispheric fissure into the cingulate tumor back to the effect of the Tiantan Hospital, Department of Neurosurgery from January 2001 to February 2003 by the surgical treatment of the cingulate tumor 2 7 cases were retrospectively analyzed. In the 27 cases, 22 cases were completely resected and 5 cases were treated by near total resection. The main pathology was low-grade glioma (n = 25). Except for 2 cases, contralateral hemiparesis occurred in 2 cases, Activities are normal, cognitive function is good. Tip: back to the tumor with cingulate more common in young people, the tumor is often confined to the growth of the buckling back to the general intrusion does not invade the adjacent areas, the main pathology of low-grade glioma along the hemispheric fissure into the road to achieve safety The purpose of removal of the lesion, the surgical approach in line with the concept of minimally invasive surgery