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目的总结四脑室室管膜瘤的临床特点及显微外科治疗经验。方法回顾性分析2012年1月至2015年6月我院显微手术治疗的19例四脑室室管膜瘤患者的临床资料。结果肿瘤全切除15例(78.9%),次全切除4例(21.1%)。术后发生并发症5例,其中眼球活动受限2例,小脑缄默症1例,颅内感染1例,呼吸困难1例。随访1~38个月,术前症状均改善,未见肿瘤复发。结论显微外科手术是治疗四脑室室管膜瘤的有效手段,最大限度切除肿瘤、最大程度保留脑干功能以及解除脑脊液梗阻,可获得良好预后。
Objective To summarize the clinical characteristics and the experience of microsurgical treatment of the fourth ventricular ependymoma. Methods The clinical data of 19 patients with four-ventricle ependymoma treated with microsurgery in our hospital from January 2012 to June 2015 were retrospectively analyzed. Results Total tumor resection in 15 cases (78.9%), subtotal resection in 4 cases (21.1%). Postoperative complications occurred in 5 cases, of which 2 cases of limited eye activity, 1 case of cerebellar mutism, 1 case of intracranial infection, 1 case of dyspnea. Follow-up 1 ~ 38 months, preoperative symptoms were improved, no tumor recurrence. Conclusion Microsurgery is an effective method for the treatment of ependymoma of the fourth ventricle. It can remove the tumor to the maximum extent, retain the function of the brain stem to the greatest extent and relieve the cerebrospinal fluid obstruction and obtain a good prognosis.