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[1]吕然博. 小脑延髓裂入路手术切除儿童第四脑室肿瘤[J].临床小儿外科杂志,2011,10(03):196-198.
　[J].Journal of Clinical Pediatric Surgery,2011,10(03):196-198.

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小脑延髓裂入路手术切除儿童第四脑室肿瘤

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第10卷期数: 2011年03期页码: 196-198 栏目: 出版日期: 2011-06-28

作者:: 吕然博; 河南省开封市陇海（脑科）医院神经外科二区

关键词:: ; 小脑延髓裂; 肿瘤; 四脑室

文献标志码:: A

摘要:: 【摘要】目的探讨经小脑延髓裂入路(transcerebeliomedullochoroidal fissure,TCMCF)手术切除儿童第四脑室肿瘤的临床疗效。方法2004年11月至2010年11月，河南省开封市陇海（脑科）医院神经外科采用枕下正中切口，经小脑延髓裂入路，应用显微外科技术对20例第四脑室肿瘤患儿进行手术治疗。结果20例中，手术完全切除17例，次全切除3例；术后病理检查提示髓母细胞瘤12例，室管膜瘤6例，脉络丛乳头状瘤1例，星形细胞瘤1例。结论经小脑延髓裂入路，不需切开小脑蚓部，可避免损伤正常小脑组织，暴露范围广，有助于彻底切除第四脑室肿瘤，提高手术疗效。

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