小儿后颅窝脑肿瘤手术结果

Mian Awais, Akhtar Muner, Laeeq-ur-Rehman, Syed Misbah, Rimla Ayesha
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摘要

目的:分析拉合尔医疗城后颅窝脑肿瘤手术的并发症及满意的手术效果。材料与方法:对2021年3月至2022年3月期间在拉合尔医疗城拉合尔儿科神经外科接受手术的40名经病史、体格检查和放射学诊断为后窝脑肿瘤的儿童进行前瞻性研究。结果:40例患者中男性26例(65%),女性14例(35%)。平均年龄为12.5岁。本研究发现10例(25%)手术结果良好,20例(50%)手术结果良好,10例(25%)手术结果不佳。最常见的临床表现为头痛(38%)、呕吐(30%)、共济失调(10%)、视力模糊(10%)和脑神经麻痹(12.5%)。毛细胞星形细胞瘤患儿预后最好,其次是室管膜瘤,而髓母细胞瘤患儿预后最差。结论:小儿神经外科医生在脑后窝肿瘤的手术治疗中仍然面临着特殊的困难。我们的研究比较了结果、并发症和手术结果与先前的临床调查。
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Pediatric Posterior Fossa Brain Tumor Surgical Outcome
Objective:  The study analyzed the complications and satisfactory surgical outcomes of posterior fossa brain tumor surgery in Lahore Medical City Lahore. Materials and Methods:  A prospective study was conducted and included 40 children who were diagnosed with posterior fossa brain tumors by history, physical examination, and later radiologically were admitted and operated on at the Pediatric Neurosurgery Department in Lahore medical City Lahore between the period of March 2021 and March 2022. Results:  There were 26 (65%) male and 14 (35% females) individuals among the 40 patients. The average age was 12.5 years. This study found that great surgical outcomes were observed in 10 instances (25 percent), good outcomes in 20 cases (50%), and bad outcomes in 10 cases (25%). The most frequent clinical manifestations were headache (38%), vomiting (30%), ataxia (10%), blurred vision (10%), and cranial nerve palsy (12.5%). The best prognosis is shown in children with Pilocytic astrocytoma, followed by ependymoma, while the poorest outcome is seen in children with medulloblastoma. Conclusion:  Pediatric neurosurgeons continue to face particular difficulty in the surgical treatment of posterior fossa brain tumors. Our study compares the outcomes, complications, and surgical outcomes to prior clinical investigations.
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