Xiaoaxiao's health blog

the vault into the road between the corpus callosum-10 cases of surgical resection of the third ventricle tumor the third ventricle tumor types diversity, it was surrounded by the hypothalamus, the thalamus, Willis artery ring and venous system, surgery is difficult to total resection, more complications. Beijing three bo rejuvenating the neurologist hospital since April 2004 to April 2007-between the corpus callosum between the vault into the way the third ventricle tumor resection of 10 cases, and obtained satisfied curative effect, kidney patients with tumor surgery differences stage of the _2 diet. 1 clinical materials 1.1 individual material the third ventricle tumor in 10 cases in 6 cases for the male, the female is in 4; Age for 7 ~ 46 years old, and even for 19 years old. Clinical said: 8 cases with headache, vomit inverse contour cranial pressure performance for starting symptoms, with water on the brain, to inspect content is not clear, drinks, more urine to start for symptoms in 2 cases. 1.2 operation method patients take supine, take right frontal hairline demonstrated in cant, inside to the center line, bound to after handicrafts coronary seam after 1.0 ~ 2.0 cm, away from the centre line about 5 cm, flap forward over, coronary seam and sagittal seam JieRangChu apoplectic reach shape seam about 5 cm place before the drilling 1 gold, milling cutters root type bone disc, cross or arc cut open and fine line hard film hanging, severe respectively along the Central Line, find Pian week next to the corpus callosum artery white, along the Central Line separation and the attachment to the external appearance of the corpus callosum cut, blunt separation transparent diaphragmatic, open about 2 cm of the vault into the third ventricle. New place cotton thread and brain linking piece, enough to expose tumors, cystic lesion to puncture put fluid, solid tumor resection of the tumor in the first block decompression, tianjin treatment of ovarian cancer hospital, then along the surrounding separation, block resection. 1.3 results the subtotal resection for 8 cases, sub-total person for 2 cases, no perish cases. Pathology diagnosis for anaplastic astrocytomas in 1 case, ependymoma for 2 cases, this meningioma for 2 cases, cranial pharynx article 2 cases for, in the hypothalamus golf swing tips side for 3 cases of glioma. The longest follow-up 6 months to 2 years, without recurrence. After more than 5 cases present more drink urine, 1 case emerging central high fever, the improved after treatment; Concurrent hydrocephalus 2 cases, line ventricle celiac shunt art; Postoperative 6 patients given injection healed. 2 for the third ventricle tumor discussed the ancient microscopic nerve surgery standards is the attack, no wound, under the condition of all as far as possible the tumor. Yasargil, etc, advocated the corpus callosum cut top hemisphere, but this approach cause easily memory block; Some scholars advocate the lateral ventricle cortex into the road, but this approach to damage the cortex, extremely easy damage venous system; Poppen idea pillow recesses of the road, but this approach in the third ventricle from side to side of the first remove the tumor growth hard.. Apuzzo, put forward the corpus callosum-between the vault into the resected tumor; MaZhenYu through process such as deformity organization tumor resection creations, clearance, tumor resection rate to 90% all the time. Let’s use the corpus callosum-between the vault into the road, 10 cases of the third ventricle tumor resection, and the results were satisfied. The implementation of this into the road surgery should pay attention to the following how many points: 1) the window edge is bound to the bone of sagittal sinus edge, don’t leave a bone eaves; 2) the corpus callosum between the vault into the road not too depend, Winkler believe that before the groove center 5 ~ 7 cm the Spaces between the longitudinal crack and cut into the best way the corpus callosum; 3) the corpus callosum ordinary not cut across 2.5 cm, lest produce off with syndrome, adrenal tumor blood pressure like a long “roller coaster” _36; 4) separate transparent diaphragmatic gap, between 2 cm into the vault cut the third ventricle, perioperative, turn over the third ventricle choroid plexus on film, visible in the brain with large veins choroidal after arterial branches, leave choroid plexus two columns, fully exposed the third ventricle tumor, on both sides of the brain of the eve of the venous operation between with care prevent blood vessel damage; 5) to cystic neoplasm to puncture put fluid, and tumor resection of real sex tumour is first sac block after excision of separation more care of wall, such as and its structural adhesion major, no demand total resection, lest produce the memory loss; 6) tumor resection in the process if you see the midbrain aqueduct, should be with cotton piece of maintenance, leukemia nursing care of common sense, and avoid blood flow; 7) postoperative placed the tube. All in all, thought the vault into the road between the corpus callosum-microsurgery resection of the third ventricle tumor is more fantasy into the road, operation clear sight, the tumor resection rate is high, less postoperative complications.