经Poppen入路显微手术切除松果体区肿瘤31例临床分析

经Poppen入路显微手术切除松果体区肿瘤31例临床分析 经Poppen入路显微手术切除松果体区肿瘤 31例临床分析 ,?????????????0?z, ???????????????b??????,???2???????0?z???? ???2?????e????????,???6???w???????h,?????h ??Poppen?????I?????w?3?????????d???t 31???W???n?? ??????1 ,?U??1 ,?????&2 ,?a????1 ,??????1 , ??????1 ,?T????1 ,????1 (?????h???????G??1.?????7??,2.??????,?????:??610041) X:????X;?????4????:???????d???????????C,?????????????0?z,???????w?3???????w???x?;?-XP?Z?9?? ???C???????????d???t?7???3????Poppen???????????w????XP????:??31????Poppen?????3???????????d ???t???F?????h?n??,?G?????W??????X,???w?????????4XP????:???t???3??26??,?a???3??3??,???n?3??2 ??,???w????2??;????3?x?1??6??,KPS???n90?n???(26??XP????:Poppen?????w???????????d???t???? ???6?2?[??????????????,???;?u?n????????,???t???3????,???w?i?t?),?????[????XP ???B??:???????d;?;???t;Poppen????;?I?????w ?Y???n????:R739.41???B?3???,:A?????7??:1726-8192(2006)04-0247-04 MicrosurgicalManagementforTumorsinPineal RegionthroughthePoppenApproach:31Case Experience Liang-xueZhou1 ,ChaoYou1 ,Lin-liLuo2 ,Bo-wenCai1 ,Xu-huiHui1 ,Jian-guoXu1 , Qing-fangJiao1 ,BingWang1 1.DepartmentofNeurosurgery,WestChinaHospital,SichuanUniversity,Chendu610041, P.R.China;2.DepartmentofAnesthesiology,WestChinaHospital,SichuanUniversity,Chendu 610041,P.R.China X:ABSTRACTX;BACKGROUND&OBJECTIVE:Apinealregiontumorisadeep-seatedlesionofthe brainsurroundedbymajorvascularandneuralstructures.Itisasurgicalchallengetoneurosurgeons.Thiswasto reportandreviewtheuseofPoppenapproachsurgicalresetionofpinealregiontumors.METHODS:Thirty-one caseswithtumorinpinealregionresectedthroughPoppenapproachwereanalyzedretrospectively.Theclinical characteristics,operativetechniqueandoutcomewerepresented.RESULTS:Totalremovalwasachievedin26 cases.Threecasesshowednear-totalremovaland2casesshowedpartialremoval.Therewere2mortality.The follow-upperiodrangedfrom3monthsto6years.TwentysixpatientsmaintainedKarnofsky PerformanceScale (KPS)of90ormore.CONCLUSIONS:Poppenapproachisoneofthesafeandeffectiveappro achesforresection oftumorsinpinealregion.Thisistoapproachthetumorthroughthenaturalanatomicalcorrido randitminimises tissueinjuryinsurgery.Wecouldachieveahighpercentageoftotalremovalandsatisfactoryo utcomes. KEYWORDS:Pinealregion;Tumor;Poppenapproach;Microsurgery ?N?V???u:2006-11-03???????u:2006-11-15 ?M?????e:?U?? 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Poppen?????M???3?????-?????x???????h???(?. ???1???x????????[7] XP ?w?4??????:Poppen???????w?4?????????;, ?U???????d?6?;????,???2????X,?(???0??X,???2 ???t???j?????]????[8,9] XP?Z???w?4?24?????????? ?h?6?;????,3???C?????????0,1???C3?x?1?? ?????0XP1?????????????????0????????6?x?1?4 ???H,?;?D???d???P?UXP1???????????h?(???0?? ?C2?x?1?4???0XP?w?Y???.?)??????????,?&???? ???;???????3???R?j???2,?f?O?t???3??,?????; ?7???????????????uXP ???(?b??,??Poppen?????3?????????d???t ?w?????????2?[?????w????,???3????,?????? ?;,?1?n??????X,???????I??????X,???????I???7 ?????w?w?:????????XP???????d?????????n?h?C ?M?y,?????????????[???2?b?0?6,???????F?x?? ?7??????????,?????????X???????????[????XP?? ???u???????t???I?????????[??????,???6?w?? ?7?w?Y?????????????????????????[?2?????) ?],???????)?9?????G?h?;???W???????????7?? ???????u???????t?????e???????F?I??;?????? ?????d???u???????t?????h???t,???w???3???? ???w?(??;???????????3?????????g?:???f???? ???????u???????t???e?????h???????e,?????F ?a???3?w?7?G???4?????I????/?7?7??;???????h ???t???2???0???????????w?4???????;?(???I?? ???????7??[10] XP [???o???B] ??????,?G?7.???????????7????[M].???]:???A???? ???[?I,2005:709-731. 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