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目的总结侧脑室肿瘤的临床表现及常见的手术入路。方法采用不同手术入路显微手术切除侧脑室肿瘤22例。结果采用经顶枕、颞枕皮质入路或经胼胝体入路,经颞中回皮质入路等手术入路切除22例侧脑室肿瘤。肿瘤全切除12例,其中有1例因术后癫痫大发作死亡;次全切除8例;部分切除2例。结论侧脑室肿瘤手术入路的选择应考虑肿瘤的大小、位置、血供以及是否合并脑积水等;根据具体情况,选择适当的手术方案。
Objective To summarize the clinical manifestations of lateral ventricle tumors and common surgical approach. Methods Twenty-two patients with lateral ventricle tumors were removed by microsurgical operation under different surgical approaches. Results Twenty-two cases of lateral ventricle tumors were removed by surgical approach via the top occipital and temporal occipital cortex or via the corpus callosum via the temporal cortex. Tumor resection in 12 cases, of which 1 case died of epileptic seizures; subtotal resection in 8 cases; partial resection in 2 cases. Conclusion The choice of surgical approach for lateral ventricle tumors should consider the size, location, blood supply and hydrocephalus of the tumor or not; according to the specific conditions, choose the appropriate surgical regimen.