Vi phẫu thuật u vùng tuyến tùng ở trẻ em

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Đỗ Thanh Cần Đặng

Ngôn ngữ: Vie

Ký hiệu phân loại: 618.92 Pediatrics

Thông tin xuất bản: Journal of Pediatric Research and Practice, 2022

Mô tả vật lý: 70-77

Bộ sưu tập: Metadata

ID: 413352

Thêm vào giỏ Liên kết toàn văn

Đánh giá vai trò vi phẫu thuật trong điều trị u vùng tuyến tùng. Phương pháp Nghiên cứu tiến cứu mô tả 18 bệnh nhân u vùng tuyến tùng đã được điều trị vi phẫu thuật tại BV Nhi đồng 2 từ tháng 04/2020 đến tháng 04/2022. Kết quả Chúng tôi ứng dụng 3 đường mổ chính cho u vùng tuyến tùng đường mổ xuyên thể chai, đường mổ chẩm - xuyên lều và đường mổ dưới lều - trên tiểu não. Tỉ lệ lấy toàn bộ và gần hết u đạt 84%. Trong đó, hai đường mổ xuyên thể chai và chẩm - xuyên lều được sử dụng nhiều nhất 89%. Có 1 trường hợp tử vong (5,5%). Tỉ lệ biến chứng 16% với một bệnh nhân bị giảm thị lực tạm thời và hai bệnh nhân bị tụ dịch dưới màng cứng. Kết luận Ngày nay, điều trị cho các sang thương vùng tuyến tùng cần kết hợp đa mô thức. Vi phẫu thuật cần thiết trong khoảng 2/3 trường hợp. Mỗi đường mổ đều có ưu khuyết điểm riêng. Việc lựa chọn đường mổ phù hợp tuỳ thuộc vào nhiều yếu tố và kinh nghiệm của phẫu thuật viên., Tóm tắt tiếng anh, To evaluate the role of microsurgery for pineal region tumors. Methods This prospective case-series of 18 consecutive patients were diagnosed with pineal region tumors admitted at Children's Hospital No.2 from April 2020 to April 2022. Results All three surgical approaches included transcallosal, occipito-transtentorial and infratentorial-supracerebellar routes were used for the pineal region lesions. Total and nearly total resection was achieved in 84%. The transcallosal and occipito-transtentorial approaches were used mostly in 89%. The ratio of motality was 5.5% and morbidity was 16% of all patients. One patient had temporary vision loss and two others had minor subdural CSF effusion after resection of tumours without requiring any further procedures. Conclusions The multimodalities of treatments for pineal region tumors are recommended commonly. The microsurgical resection of tumours is too complex and risky but only neccessary in 2/3 of all cases. Numerous surgical approaches are noticed worldwide. The neurosurgeons can use one of them according to some specific categories and belonging to their own experiences.

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