Ключевые слова: глиомы лобно-каллезной области, комбинированное лечение глиом, топографо-анатомические варианты.
THE SUMMARY
Kulik A.V. Combined treatment gliomas frontal - callous localization.
The Manuscript.
The dissertation on competition of a scientific degree of the candidate of medical sciences on a speciality 14.01.05. - Neurosurgery. Official body «Institute of neurosurgery of a name of academician A.P.Romodanova АМН of Ukraine», Kiev, 2008.
The dissertation is devoted a problemcombinedtreatments gliomas frontal - callous localisation. Possibility of improvement of results of the combined treatment of patients with gliomas frontal - callous localization, by application of modern methods of diagnostics and differentiated use of surgical and not surgical methods of treatment is studied, being based on data of kliniko-statistical forecasting.
It is studied 401 case of disease on gliomas frontal - callous localization which were on treatment in Institute of neurosurgery with 1986 for 2006 inclusive.
The surgical anatomy frontal-callous areas on which basis three-dimensional models of its zones (sectors) are presented is studied. Top topographical modelling by means of methods of spatial geometry (construction of planes, triangles) is considered. The topographical and anatomic characteristic of each of variants gliomas frontal - callous localization (brain structures, nearby arteries, veins, the important spending ways which it is damaged by a tumour) is offered.
By us it is allocated fourthe basic topographical and anatomic variants gliomas frontal - callous localization, which various illnesses on clinical course, tactics of surgical treatment: сallous-lateral (51 %), callous-basal (26 %), callous-precentral (15 %), callous-medial (8 %).
Tactics of surgical treatment of patients with various topographical and anatomic variants gliomas frontal - callous localization is offered. It is presented the general lines and features of all main stages of operative intervention at removal such gliomas.
Accesses are carefully considered, the critical moments to which it is necessary to pay especial attention during operation at each of topographical and anatomic variants gliomas are designated.
It is studied postoperative lethality patients with various topographical and anatomic variants gliomas frontal - callous localization.
The survival rate of patients with gliomas frontal - callous localization is studied, on the basiswhich are revealed main prognostic factors.
Keywords: gliomas frontal - callous localization, combined treatment of gliomas, topographical and anatomic characteristic of variants gliomas.