脑神经胶质瘤病的诊断和治疗
诊断,,肿瘤，神经上皮；诊断；治疗,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨脑神经胶质瘤病的临床特征及其诊断与治疗。方法 回顾性分析9例经开颅手术或定向活检证实为脑神经胶质瘤病的临床表现、影像学资料及治疗效果。结果 9例均有颅内高压表现，CT扫描共发现23个病灶，其中病灶累及3个脑叶者5例，累及2个脑叶者4例。CT平扫病灶呈高密度5个，等密度5个，低密度13个，大多数病灶强化不明显，瘤周轻中度水肿。4例行MRI检查发现胼胝体肥大2例。9例均获得6个月以上随访。结论 脑神经胶质瘤病CT扫描易误诊为转移瘤，MRI扫描对脑神经胶质瘤病的诊断有一定的价值，确诊有待于病理检查。手术切除程度是决定预后的重要因素，术后分割放疗是控制肿瘤生长及延迟复发的重要辅助治疗手段。【关键词】 肿瘤，神经上皮；诊断；治疗
Diagnosis and treatment of cerebral glioma
ZHENG Zhipeng,GAO Shujing.The Peoples Hospital of Zhengding County,Zhengding 050800,China
【Abstract】 Objective To investigate the clinical features,diagnosis and treatment of cerebral glioma.Methods Retrospective analysis was conducted in view of the clinical manifestation,imaging information and therapeutric results of 9 patients with cerebral glioma confirmed by pathological examination after operation or oriented biopsy.Results All 9 cases had symptoms of intracranial hypertension,and 23 foci were located with CT scanning,5 foci in higher density,5 foci in equal density and 13 foci in lower density.No enhancement demonstrated in 8 foci,and slight or moderate enhancement in 15 foci.All foci hand paratumoral edema at different degrees.The foci involved 3 lobes in 5 cases,and 2 lobes in 4.MRI examination showed hypertrophy of corpus callosum in 2 cases.All 9 cases were followed up for more than half a year.Conclusion Cerebral glioma is prone to be misdiagnosed as metastatic tumor by CT,MRI scanning is valuable for the diagnosis.Confirmed diagnosis depends on pathological examinantion.The degree of operational incision is an important factor affecting prognosis and postoperative assistant radiotherapy is important to inhibit the growth of tumor and postphone the recurrence of tumor. ......
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