神经内镜下小脑上入路手术技术切除松果体肿瘤的临床效果：一项回顾性研究

IF 1.5 4区医学 Q4 CLINICAL NEUROLOGY

Neurochirurgie Pub Date : 2024-06-21 DOI:10.1016/j.neuchi.2024.101576

Qiang Li , Kai Zhang , Hanruo Liu , Shijia Zhai , Yanfei Jia , Tian Li , Yawen Pan

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引用次数: 0

摘要

目的松果体肿瘤是一种相对罕见的中枢神经系统病变，好发于儿童群体。本文旨在探讨神经内镜下小脑幕上入路切除松果体区肿瘤的临床效果。方法这是一项回顾性研究，纳入了2017年12月至2023年10月兰州大学第二医院神经外科接受神经内镜下小脑幕上入路切除9例松果体区肿瘤的患者。结果术后MRI结果显示，所有肿瘤均被切除。5例患者接受了术后放疗，3例患者在放疗的同时接受了化疗，1例患者既没有接受放疗也没有接受化疗。病理结果显示，4 名患者被诊断为生殖细胞瘤，2 名患者为畸胎瘤，2 名患者为混合性生殖细胞瘤，1 名患者为中枢神经细胞瘤。手术后，1 名患者出现精神症状，2 名患者出现双眼上视和复视，1 名患者出现行走不稳和复视。经过 1.7-4.8 年的随访，9 名患者均正常生活。结论简易神经内镜下小脑幕上入路具有一定的安全性和有效性。结论简易神经内镜小脑下小脑上入路具有一定的安全性和有效性，适用于主要位于盖伦静脉复合体下方的松果体区肿瘤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Clinical effects of neuroendoscopic infratentorial supracerebellar approach surgical technique for resecting pineal tumors: a retrospective study

Objective

Pineal tumors are relatively rare central nervous system lesions with a predilection for the pediatric population. This article aims to explore the clinical effects of neuroendoscopic infratentorial supracerebellar approach for resecting tumors in the pineal area.

Methods

This is a retrospective study that included patients who underwent neuroendoscopic infratentorial supracerebellar approach to resect nine tumors in the pineal area at the Department of Neurosurgery of the Second Hospital of Lanzhou University from December 2017 to October 2023.

Results

The results of postoperative MRI revealed that all tumors were resected. Five patients received postoperative radiotherapy, three patients received radiotherapy along with chemotherapy, and one patient received neither radiotherapy nor chemotherapy. The pathological results showed that four patients were diagnosed with germinoma, two patients with teratoma, two patients with mixed germ cell tumors, and one patient with central neurocytoma. After surgery, one patient developed psychiatric symptoms, two patients developed binocular upward vision and diplopia, and one patient developed unstable walking and diplopia. With a follow-up of 1.7–4.8 years, all nine patients lived normally. Furthermore, none of them had tumor recurrence or death.

Conclusion

The simple neuroendoscopic infratentorial supracerebellar approach has some safety and efficacy. It is suitable for tumors in the pineal region where the disease is mainly located below the Galen vein complex.

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来源期刊

Neurochirurgie 医学-临床神经学

CiteScore

2.70

自引率

6.20%

发文量

100

审稿时长

29 days

期刊介绍： Neurochirurgie publishes articles on treatment, teaching and research, neurosurgery training and the professional aspects of our discipline, and also the history and progress of neurosurgery. It focuses on pathologies of the head, spine and central and peripheral nervous systems and their vascularization. All aspects of the specialty are dealt with: trauma, tumor, degenerative disease, infection, vascular pathology, and radiosurgery, and pediatrics. Transversal studies are also welcome: neuroanatomy, neurophysiology, neurology, neuropediatrics, psychiatry, neuropsychology, physical medicine and neurologic rehabilitation, neuro-anesthesia, neurologic intensive care, neuroradiology, functional exploration, neuropathology, neuro-ophthalmology, otoneurology, maxillofacial surgery, neuro-endocrinology and spine surgery. Technical and methodological aspects are also taken onboard: diagnostic and therapeutic techniques, methods for assessing results, epidemiology, surgical, interventional and radiological techniques, simulations and pathophysiological hypotheses, and educational tools. The editorial board may refuse submissions that fail to meet the journal''s aims and scope; such studies will not be peer-reviewed, and the editor in chief will promptly inform the corresponding author, so as not to delay submission to a more suitable journal. With a view to attracting an international audience of both readers and writers, Neurochirurgie especially welcomes articles in English, and gives priority to original studies. Other kinds of article - reviews, case reports, technical notes and meta-analyses - are equally published. Every year, a special edition is dedicated to the topic selected by the French Society of Neurosurgery for its annual report.