島葉膠質瘤手術治療發展近況

10.6666/ClinMed.201802_81(2).0011

陳劭青

島葉 ； 膠質瘤 ； 術中監測 ； 手術

臨床醫學月刊

81卷2期（2018 / 02 / 23）

60 - 64

繁體中文

膠質瘤為顱內最常見的原發性腫瘤，其中位於島葉的膠質瘤因位處深部，為額蓋及顳蓋所覆蓋，深層又有基底核等重要構造，曾一度被認為是無法以手術切除的病灶。然而，隨著神經外科手術技巧的進步，各種手術入路的蓬勃發展，島葉膠質瘤不再被視為手術禁區；特別是在術中神經監測、術中超音波、術中導航、術中磁振造影及清醒開顱手術等各項輔助技術的長足發展之下，不僅手術切除率得到大幅提升、病患安全也更加得到保障。另一方面，隨著對膠質瘤的了解越來越多，手術作為主要治療方式之一及手術切除率影響病患預後的認知也逐漸廣泛地被醫生們接受；特別是在低惡性度膠質瘤，腫瘤切除能夠顯著的增加患病後的平均餘命。因此，本文即針對島葉膠質聊手術發展近況給予詳細的介紹，以供同業及病患參考。

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