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松果体区肿瘤手术治疗的进展

庄 志杰, 郜 彩斌, 刘 文庆, 孔 令舸, 曹 相玫, 刘 仲涛

摘要

松果体区肿瘤是指发生在松果体或其周围结构的肿瘤,其首发症状多为颅内压增高引起的头痛,颅脑核磁共振(MRI)
是其主要检查手段。由于大多数肿瘤对放化疗不敏感,因而手术治疗是目前松果体区肿瘤的首选治疗措施。其解剖位置深在,
周围毗邻重要的神经及血管,并且其组织学类型繁多,因而手术治疗一直是神经外科中的难点,因肿瘤位置的特殊性,诞
生了不同的手术入路。为了能安全有效的切除肿瘤,同时减少患者的创伤,手术方式由最初的开颅手术治疗到现在的微创
手术治疗方式,临床医生需根据患者的不同临床及影像特征选择合适的手术方式。结合松果体区肿瘤手术治疗的相关文献,
本文综述了各种手术的优缺点及适应症,旨在为神经外科医生临床治疗松果体区肿瘤提供参考。

关键词

松果体区肿瘤;手术;入路;神经内镜;显微镜

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参考

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