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目的探讨切除松果体区及其附近肿瘤手术方法。方法采用Poppen入路手术切除松果体区肿瘤6例,小脑幕缘肿瘤3例,小脑半球上部9例。结果肿瘤全切除17例,大部分切除1例。所有病例小脑损害症状均有不同缓解,无新增手术损害症状及手术相关死亡病例。结论松果体区及其附近肿瘤采用Poppen入路手术切除是比较理想的选择。该入路具有体位简单、损伤小、术野开阔、肿瘤全切除率高和术后并发症少等优点。
Objective To investigate the surgical methods of resecting tumor in pineal region and its vicinity. Methods Poppen approach excision of pineal tumors in 6 cases, 3 cases of cerebellar margin tumors, the upper 9 cases of cerebellar hemispheres. Results Total resection in 17 cases, most of the resection in 1 case. All cases of cerebellar lesions have different symptoms of relief, no new surgical damage and surgery-related deaths. Conclusion Poppen approach surgical excision of pineal region and its adjacent tumors is an ideal choice. The approach has the advantages of simple body position, small injury, open surgical field, high total excision rate and fewer postoperative complications.