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华西医学  2015 

功能区低级别胶质瘤的手术治疗

DOI: 10.7507/1002-0179.20150187, PP. 645-647

Keywords: 功能区,低级别胶质瘤,手术,治疗

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Abstract:

目的 总结运用定位技术辅助行功能区低级别胶质瘤手术治疗的临床经验。方法 对2009年12月-2012年12月收治的54例功能区低级别胶质瘤手术患者的临床资料进行回顾性分析。结果 54例患者中,术前行弥散张量成像定位36例,使用术中B型超声行肿瘤解剖定位13例,行术中唤醒麻醉5例。肿瘤全切除42例,次全切除10例,部分切除2例,无手术死亡病例。术后随访6~24个月,平均12个月,无死亡患者。随访期末Karnofsky功能状态评分与手术前比较,差异无统计学意义(P>0.05)。结论 综合运用各种定位技术,能在最大限度保护功能的前提下,最大程度地切除肿瘤,从而改善患者术后生存质量。

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