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目的探讨第三脑室肿瘤的显微手术治疗效果。方法对30例第三脑室肿瘤患者采取针对性的治疗措施,其中行显微直视手术患者25例,行显微直视手术加神经内镜辅助手术患者3例,行神经内镜切除术患者2例。结果手术后,有13例患者的肿瘤在手术显微镜下全部切除,12例患者的肿瘤次全切除,5例患者的肿瘤部分切除。其中有20例患者恢复良好,7例患者有所改善,1例患者植物生存,2例患者死亡。结论显微手术为第三脑室肿瘤的首选治疗方法,手术过程中要注意保护第三脑室周围的组织结构,以降低术后并发症的发生率。
Objective To investigate the microsurgical treatment of the third ventricle tumors. Methods Thirty patients with third ventricle tumors were treated with targeted therapy. Among them, 25 patients underwent microsurgery, 3 patients underwent microsurgery with endoscopic neurosurgery, and underwent endoscopic neurosurgical resection 2 cases. RESULTS: Thirteen patients underwent surgical resection of the tumor after operation. The tumors of 12 patients were subtotally resected and the tumors of 5 patients were partially resected. Twenty patients recovered well, seven improved, one patient survived and two died. Conclusion Microsurgery is the first choice for the treatment of the third ventricle tumor. During the operation, the structure around the third ventricle should be protected to reduce the incidence of postoperative complications.