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目的:对切除颞叶内侧胶质瘤时所采取不同的入路手术效果进行观察并讨论。方法:选取100例颞叶内侧胶质瘤患者,对其所采取的不同入路手术效果进行分析。手术入路有三种选择:经外侧裂入路、经颞叶入路以及颞下入路。并将其设定为A组40例病患、B组33例病患、C组27例病患。结果:A组中有22例肿瘤全切除,10例近全切除,8例属于大部分切除,并有1例属于术后原视觉发生障碍加重。B组中有21例为肿瘤全切除,8例肿瘤近全切除,6例属于大部分切除,其中术后原视觉障碍加重有7例,并有新发视觉障碍5例。C组中则有19例为肿瘤全切除,8例近全切除,术后无视觉障碍加重病例产生。结论:经观察结果可知,侧方经颞上回、中回入路可能对脑组织及视放射产生损伤,而外侧裂和颞下入路对脑组织及视放射的损伤则相对较小。
OBJECTIVE: To observe and discuss the different surgical approaches taken when resecting the medial temporal lobe gliomas. Methods: One hundred patients with medial temporal lobe glioma were selected to analyze the surgical results of different approaches. There are three options for surgical approach: the lateral fissure approach, the temporal lobe approach and the infratemporal approach. And set it as 40 patients in group A, 33 patients in group B, and 27 patients in group C. Results: In group A, 22 cases of total resection of tumor, 10 cases of subtotal resection, 8 cases of resection, and 1 case of postoperative visual acuity worsened. In group B, 21 cases were completely resected, 8 cases were resected completely, and 6 cases were resected. Among them, 7 patients had primary visual impairment and 5 cases had new visual disturbances. In group C, there were 19 cases of total tumor resection, 8 cases of total resection, and no visual impairment after operation. Conclusion: The results show that the lateral approach through the temporal gyrus, the middle return route may damage the brain tissue and visual radiation, while the lateral fissure and infratemporal approach to brain damage and visual radiation is relatively small.