室管膜下瘤的诊断与治疗
Diagnosis and treatment of subependymomas
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摘要: 目的: 深入认识中枢神经系统室管膜下瘤,以期提高本病的诊疗水平。方法: 回顾性总结我科6例中枢神经系统室管膜下瘤的临床表现、影像学检查、诊断及治疗效果。结果: 6例均手术治疗,全切除5例,次全切除1例;病理5例为典型室管膜下瘤,1例为室管膜瘤-室管膜下瘤混合型;1例室管膜瘤室管膜下瘤混合型瘤和1例次全切除肿瘤联合术后放射治疗;6例随访6个月~5年,恢复良好,无死亡病例;均未见肿瘤复发或增长。结论: 中枢神经系统室管膜下瘤是一种少见生长缓慢边界清楚的良性肿瘤;运用显微神经外科及术中导航技术全切除肿瘤是主要的治疗方法,室管膜瘤-室管膜下瘤混合型肿瘤或部分切除的肿瘤可以联合术后放疗减少复发。Abstract: Objective: To study the diagnosis and treatment of subependymomas. Methods: Records of 6 subependymoma patients treated in Neurosurgery Department of our hospital between 2000 and 2007 were retrospectively analyzed.Selected surgical procedures were studied.Postoperative and follow-up data about the patients were analyzed. Results: All the 6 patients underwent surgery.Total removal of tumor was achieved in 5 patients and one of them received combined radiotherapy after operation.Subtotal removal was achieved in a female patient who received radiotherapy after operation.During the follow-up period ranging 6 months-5 years,all the 6 patients had satisfactory prognosis and no recurrence. Conclusion: Microneurosurgery and intraoperative neuronavigation system can increase the rate of total tumor resection.The combination of postoperative radiotherapy can effectively control the residue and subtype of mixed ependymoma and subependymoma.
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