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class=\"detailc list-paddingleft-2\" style=\"list-style-type: none;\"><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　肿瘤的复发在临床上很常见，不少肿瘤病人经过各种有效治疗后得到痊愈或临床治愈。过一段时间后被治愈的肿瘤又重新复发。因此在肿瘤得到治愈或已被控制后一定要重视预防再次复发。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　首先，肿瘤的治疗应力求彻底，这对早期肿瘤很容易做到，采用根治性手术，合理的放、化疗，有计划地综合治疗等完全可以防止复发。尽管肿瘤的治疗技术越来越先进，但目前通过一次性或突击性治疗，尤其是对中，晚期肿瘤，仍然很难做到绝对彻底，即很难避免体内残存一些肿瘤细胞，所以在进行正规治疗之后，一定要跟进抗复发治疗。抗复发治疗的目的在于消灭治疗后残存的肿瘤细胞，或抑制原来未能发现的肿瘤进一步发展。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　恶性胶质瘤的临床表现没有特异性，头痛为主要症状，可以合并颅内压增高的相应症状和体征，如恶心、呕吐、视物模糊，还有一部分患者可出现抽搐、轻偏瘫和语言障碍等。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　所有肿瘤病人都应注意保持心情愉快，精神放松，避免长期过度的精神紧张和不良刺激。加强身体素质锻炼，提高机体免疫功能及抗病能力，也是有效预防肿瘤复发的重要环节。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　尽管复发的肿瘤比原发的肿瘤在治疗上更为困难，但只要做到早发现，早诊断，早治疗，复发肿瘤也是可以治愈的。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\"><strong>　　胶质瘤的预防措施：</strong></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　1、养成良好的饮食习惯：不要暴饮暴食，不要过多地吃咸而辣的食物，不吃过热、过冷、过期及变质的食物。年老体弱或有某种疾病遗传基因者酌情吃一些防癌食品和含碱量高的碱性食品，保持良好的精神状态。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　2、不过多地吃咸而辣的食物，不吃过热、过冷、过期及变质的食物;年老体弱或有某种疾病遗传基因者酌情吃一些防癌食品和含碱量高的碱性食品，保持良好的精神状态。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　3、有良好的心态应对压力，劳逸结合，不要过度疲劳。中医认为压力导致过劳体虚从而引起免疫功能下降、内分泌失调，体内代谢紊乱，导致体内酸性物质的沉积;压力也可导致精神紧张引起气滞血淤、毒火内陷等。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　4、不要食用被污染的食物，如被污染的水、农作物、家禽鱼蛋、发霉的食品等，要吃一些绿色有机食品，防止病从口入。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　5、加强体育锻炼，增强体质，多在阳光下运动，多出汗可将体内酸性物质随汗液排出体外，避免形成酸性体质。</p></ul><p><br/></p>","barId":"1337","topicTypeId":null,"topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"3261","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胶质瘤的四大食疗偏方","content":"<ul class=\"detailc list-paddingleft-2\" style=\"list-style-type: none;\"><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　我们知道治疗胶质瘤期间会消耗患者的大量营养，因此为了尽快康复，患者就必须注重一些日常饮食结构，适当的补充营养，增强抗病能力。特别是富含维生素类的水果和蔬菜对脑瘤具有一定的保护作用，在胶质瘤的预防与治疗过程中起到了非常关键的作用。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\"><strong>　　胶质瘤的四大食疗偏方</strong></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\"><strong>　　1、鱼胶圆肉水鸭汤</strong></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　用料：鱼胶、水鸭、桂圆肉少许，生姜1片。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　制作：用水浸鱼胶，洗净，切丝;水鸭去毛、肠脏，洗净，斩件;生姜、桂圆肉洗净，把全部用料一起放入炖盅内，放开水适量，加盖，文火隔水炖2小时，调味即可。随量饮汤食用。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　功效：此汤有益气养血，滋肾益精之功。适用于各种癌症气弱血虚、肾精亏损、虚阳上浮者，放疗后热伤真阴、阴虚内热者，症见消瘦虚弱，烦渴食少，低热，潮热等。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　注意事项：癌肿脾胃虚寒、中焦湿盛而致口淡食少、食后饱胀者不宜饮本汤。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\"><strong>　　2、天魔芋炖老鸭子</strong></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　这种植物不能直接食用，入口有麻、刺嘴的感觉。炖制时应用透气性好的纱布袋，将天魔芋置于其中，袋口用针线缝严，免得残渣漏出。炖汤应在12小时以上，否则可能中毒。起锅时，将纱布袋捞出，弃之。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　炖汤所用的鸭子应是5年以上的老鸭子，鸭子越老，效果越好。食用方法：可加入少许盐，吃鸭肉，喝汤。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\"><strong>　　3、菜干蜜枣鸭肾汤</strong></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　用料：猪瘦肉、白菜干、蜜枣、腊鸭肾。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　制作：将白菜干浸软洗净，切段;蜜枣洗净;腊鸭肾温水浸半小时，洗净，切件;猪瘦肉洗净，切片，把全部用料一起放入锅内，加清水适量，武火煮沸后，文火煮1～2小时，调味即可。随量饮用。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　功效：此汤有滋阴润燥，养胃消食之功。适用于癌肿放疗期和放疗后胃津不足者，症见口渴、消瘦、不思饮食、食难消化等。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\"><strong>　　4、冬菇鸡蓉粟米汤</strong></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　用料：冬菇、鸡肉、粟米片、葱1根。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　制作：将冬菇浸软，洗净，切细粒;粟米片用清水适量调糊;鸡肉洗净，切粒;葱去须洗净，切葱花，把粟米糊放入沸水锅内，文火煮5分钟后放鸡粒、冬菇粒煮3分钟，放葱花，调味，再煮沸即可。随量饮用。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　功效：此汤有健脾养胃，益气养血之功。适用于癌肿放疗、化疗期间或气血不足，食少疲倦者，症见食欲不振，胃脘隐痛，面色苍白，体倦乏力。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　注意事项：胃气虚弱者，宜少食多餐，以调养胃，若有呕吐者，可加生姜汁少许同用。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　<strong>温馨提示：</strong>影响脑胶质瘤生存期的因素：影响患者存活率最主要的因素就是治疗方法的选择，有一个好的治疗方法是非常重要的，同时治疗和专家的选择也要非常的慎重。其次很多有癌症的患者，态度都是非常消极的，会严重的影响治疗效果，因此有个好的心态很重要。</p></ul><p><br/></p>","barId":"1337","topicTypeId":null,"topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":3},{"id":"9680","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"神经胶质瘤复发 怎么办","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">神经胶质瘤</span></span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">分</span>4级，1-2级低度恶性，3-4级，恶性程度高些，会复发的，一般手术后残留病灶可以行放射治疗，或者术后放疗，能缩短复发的时间。</span></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1513848525043.jpg\" title=\"神经胶质瘤复发 怎么办\" alt=\"神经胶质瘤复发 怎么办\" width=\"600\" height=\"372\"/></span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">神经胶质瘤由于早期要通过手术进行基础治疗。所以，很难做到清楚地非常彻底，极微量的胶质瘤干细胞的存在就可以造成复发。所以这也是困扰医学界多年的难题。目前比较有效的办法是进行脑胶质瘤生物刀的综合治疗</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">但手术后的脑胶质瘤组织对患者一生都是非常珍贵，要很及时的将其送至胶质瘤干细胞库中，胶质瘤干细胞库被誉为胶质瘤患者的生命银行，通俗的说就是让你的胶质瘤组织为你提供自身的特征，这样提取这些特征就可以制成抗原，然后如果一旦复发就可以对你自身进行极其精确的清除胶质瘤干细胞</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">业界专家有戴宜武、秦家振等，每周二在北京军区总医院附属八一脑科医院一层专家诊室胶质瘤治疗中心出诊。希望对你有所帮助</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span></p><p><br/></p>","barId":"1337","topicTypeId":null,"topicThemeId":"1034","readLevel":0,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"3277","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胸椎1-4胶质瘤　","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">男,50岁。患者夜间有胀痛，脚抽筋。下肢已无知觉。京肿瘤医院拍片肿瘤蔓延至细胞膜内。</span><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">能否实施半手术半放疗减轻胀痛</span></p>","barId":"1337","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"3525","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"先天性颅内畸胎瘤二年了","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">男,20岁。15年9月意外发现颅内占位病变之今没有明显症状，去年和今年复查华山教授认为是颅内畸胎瘤，手术会瘫痪，切不干净，会复发，我们考虑了很久没有选择手术，请问中医有办法嘛</span></p>","barId":"1337","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"1106","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胶质瘤的临床表现","content":"<p><span style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; background-color: #ffffff;\">脑胶质瘤是起源于脑部神经胶质细胞，是最常见的颅内肿瘤，约占所有颅内肿瘤的45％左右。在儿童恶性肿瘤中排第二位。脑胶质瘤病例中90％出现颅内压增高的症状，临床表现主要为头痛、恶心、呕吐及视力障碍等。其他还可有癫痫、眩晕、外展神经麻痹及行为和性格改变等等。脑胶质瘤的症状进展与肿瘤的部位、恶性程度、生长速度及患者年龄有关。下面就介绍一下脑胶质瘤的临床表现。</span><br /><br /><span style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; background-color: #ffffff;\">　　</span><strong style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; white-space: normal; background-color: #ffffff;\">1 头痛</strong><br /><br /><span style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; background-color: #ffffff;\">　　头痛常是早期症状之一，初期常为间歇性、搏动性钝痛及胀痛，以后随着肿瘤增大，头痛加剧，时间延长，可以变成持续性。头痛可以是局限性或全头痛，常发生于清晨或起床后空腹时，白天逐渐缓解，严重时可伴有恶心、呕吐，呕吐后头痛可减轻。任何引起颅内压增高的因素，如咳嗽、喷嚏、大便等均可使头痛加重。当肿瘤囊性变、肿瘤内出血或蛛网膜下腔出血时，可使头痛加剧，当患者头痛突然加剧、坐卧不安、大声呼痛或两手抱头，甚至叩击头部，伴有喷射性呕吐，继之昏迷，这是急性颅内压增高危象的先兆信号，必须采取紧急处理措施。</span><br /><br /><span style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; background-color: #ffffff;\">　　</span><strong style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; white-space: normal; background-color: #ffffff;\">2 呕吐</strong><br /><br /><span style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; background-color: #ffffff;\">　　呕吐也经常是胶质瘤的首发症状，多发生在清晨空腹时，呕吐前可有或无恶心，且常伴有剧烈的头痛、头晕。有时呈喷射性，多因颅内压增高刺激呕吐中枢引起。小儿颅后窝肿瘤出现呕吐较早且频繁，常为唯一的早期症状，易误诊为胃肠道疾病，故小儿出现频繁呕吐时，应做详细的神经系统检查，以防漏诊。</span><br /><br /><span style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; background-color: #ffffff;\">　　</span><strong style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; white-space: normal; background-color: #ffffff;\">3 视乳头水肿<br /></strong><br /><span style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; background-color: #ffffff;\">　　视乳头水肿是颅内压增高的重要客观体征，幕上肿瘤一般肿瘤侧较重，幕下肿瘤两侧大致相同。额叶底部肿瘤直接压迫同侧视神经引起原发性萎缩，对侧因颅压增高引起视乳头水肿。视乳头水肿可在较长时间不影响视力，随着视乳头水肿的加重，出现生理盲点扩大和视野向心性缩小及视乳头继发性萎缩。一旦出现阵发性黑蒙，视力将迅速下降，要警惕失明的危险，需及早处理。传统的体格检查同样适用于胶质瘤患者，查体时一定要进行眼底检查以确认有无视乳头水肿。</span><br /><br /><span style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; background-color: #ffffff;\">　　</span><strong style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; white-space: normal; background-color: #ffffff;\">4 癫痫</strong><br /><br /><span style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; background-color: #ffffff;\">　　癫痫发作多由于肿瘤的直接刺激或压迫引起，发生率约30％。一般生长缓慢的低级别胶质瘤如星形细胞瘤和少突胶质瘤以癫痫为首发或主要症状，生长快的恶性胶质母细胞瘤癫痫发生率低。癫痫发生率与肿瘤部位有关，额叶和颞叶发生率最高，约80％，其次是额顶叶、顶叶、颞顶叶、颞枕叶。</span><br /><br /><span style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; background-color: #ffffff;\">　</span><strong style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; white-space: normal; background-color: #ffffff;\">　5 其他症状<br /></strong><br /><span style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; background-color: #ffffff;\">　　由于肿瘤刺激、压迫或破坏周围脑组织或颅神经引起的神经系统定位症状，如额叶胶质瘤可引起运动区损害、书写及运动语言中枢损害等，顶叶胶质瘤引起皮质感觉障碍、失用症、失读症和计算力障碍等。颞叶胶质瘤可引起耳鸣和幻听、感觉性或命名性失语、眩晕等。</span><br /><br /><span style=\"color: #333333; font-family: 'Microsoft YaHei', 微软雅黑, Tahoma, Arial, sans-serif; font-size: 15px; line-height: 30px; text-align: justify; background-color: #ffffff;\">　　脑胶质瘤患者应该注意I级与II级胶质瘤生长缓慢，大脑逐渐适应，脑胶质瘤的症状可单一出现，也可合并出现，一旦出现症状应尽早到正规医院接受合理的检查和正确的治疗。胶质瘤的治疗强调综合治疗即手术放化疗加免疫治疗。</span></p>","barId":"1337","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"1337","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"岛叶胶质瘤的外科治疗最新方法","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal; text-align: left;\">　　岛叶胶质瘤约占所有脑胶质瘤的16%。由于其位置深在，毗邻结构复杂，目前岛叶胶质瘤仍具有手术全切除难度大、术后神经功能障碍发生率高以及术后易复发的特点。国内外学者多主张最大程度地保护神经功能的情况下尽可能全切除肿瘤，并进行综合性治疗。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　一、岛叶胶质瘤的基本特征</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　1.岛叶的大体解剖：岛叶又称脑岛（insula），位于外侧裂深面，被额、顶及颞叶所覆盖。其表面被脑岛中央沟分成两部分，其前部与额叶联系，后部与颞叶联系。解剖研究发现部分脑岛中央沟为中央沟的延续，长约5 cm。在岛阈处可见大脑中动脉M1段呈90&deg;向上、向后弯曲的膝部进人环状沟形成M2段，并发出数条分支。在膝部远侧可见一最大分支供应额颞前部及角回、中央沟等区域。岛叶前下角深面指向前穿质，前上角和后角的深面分别指向侧脑室的额角、三角区。岛叶毗邻的重要结构由外向内依次为最外囊、屏状核、外囊、壳核、苍白球、内囊、尾状核及丘脑等。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　2.病理性质：国外文献报道，低级别胶质瘤中岛叶胶质瘤约占25%，高级别胶质瘤中约占10%。国内文献报道，岛叶胶质瘤中以低级别胶质瘤为主，约占90%，主要包括低级别的星形细胞瘤、少突胶质细胞瘤、少突星形细胞瘤、神经节细胞瘤，少部分为高级别胶质瘤，如问变性星形细胞瘤、胶质母细胞瘤等。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　病变的病理性质与症状有一定的关系，以语言、运动异常为主要症状的约66%为较高级别的恶性肿瘤，并且肿瘤级别随年龄的增长而增高。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　3.病因：目前发病机制尚不十分明了。一项Meta分析显示，具有肿瘤家族史者的脑胶质瘤发生率为无肿瘤家族史者的2.61倍，而不良生活习惯和某些职业性危害因素也与脑胶质瘤的发病也密切相关，如大量或长时间吸烟、射线或电磁场接触史。在基因方面，Goz6等呻。的研究显示，1p/19 q缺失可能是为岛叶胶质瘤的危险因素。有研究表明，位于人类10号染色体的抑癌基因PTEN异常表达可能是脑胶质瘤形成的始动因素之一，并在胶质瘤的发生和发展中起重要作用。另外，胃泌素释放肽的高表达也可能对人脑胶质瘤细胞发生与发展具有促进作用。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　4.临床分型：依据Yasargil分类法将岛叶胶质瘤分为4类：I类：局限于岛叶环状沟内的纯岛叶胶质瘤；II类：累及岛叶及额叶岛盖的岛叶一额盖胶质瘤；III类：累及岛叶和颞底内侧面的岛叶一颞底内侧胶质瘤；IV类：累及岛叶、眶额叶回皮质及颞极的岛叶一眶回一颞极胶质瘤。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　5.临床症状：多数岛叶胶质瘤患者以癫痫为首发症状，症状包括躯体运动或感觉性发作、语言障碍、内脏运动或内脏感觉异常、嗅或味幻觉等。虽然岛叶的深面即为内囊等重要结构，但岛叶病变即使长至很大的体积也极少出现病变对侧肢体的瘫痪。这可能源于岛叶为边缘系统一部分，该处肿瘤在种系发生上与原始皮质区有一定的亲和力，肿瘤生长初期可能只限于异生皮质区，即便增大仍局限于异生皮质与中间皮质之间，除晚期恶性肿瘤外，一般不侵犯邻近的新皮质区及深部重要结构，如基底节核及内囊。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　二、岛叶胶质瘤的手术治疗</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　1.手术治疗计划：</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　（1）由于岛叶病变周围有许多重要神经纤维束及神经核团，因此术前除行常规头颅CT和MRI外，还应采用弥散张量成像（DTI）和功能MRI（fMRI）对以上重要结构进行定位和标记，以便术中给予有效的保护。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　（2）另外，岛叶胶质瘤毗邻众多重要的血管及穿支，术前对岛叶肿瘤周围血管位置的评估有助于对其重要血管的保护，可行颅脑磁共振血管造影（MRA）、全脑血管DSA或CTA，采用磁共振三维时间飞跃法成像（3D TOF-MID可进一步显示豆纹动脉及其与肿瘤的毗邻关系。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　（3）岛叶肿瘤的良恶性及对锥体束的破坏程度直接影响患者的预后，因此应采用磁共振波谱（MRS）和弥散张量纤维束成像（DTY）对肿瘤良恶性及锥体束与肿瘤的空间位置、破坏程度进行术前评估，有助于术者采取更为合理的手术策略。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　（4）为了达到更好地显露肿瘤及最小的副损伤，头位及切口设计也很重要，可通过显微镜观察肿瘤的镜下投影结合导航指示来设计手术切口及最合适的观察角度，以求最大化手术效果。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　（5）岛叶胶质瘤患者多以癫痫起病，因此术前应行脑电图检查，另外如有言语功能障碍，可行语言定位图帮助了解肿瘤与语言中枢的关系，同时也可指导术中对于语言中枢的保护。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　2.手术技巧：</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　（1）采取合适的手术入路：通常采取翼点或改良翼点入路，依据肿瘤与锥体束的空间位置关系分为前外侧型、外侧型和后外侧型，根据其空间分型调整手术入路。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　（2）充分利用侧裂池及脑沟回的自然裂隙：术中采用头架固定头部，头向健侧旋转30&deg;，借助重力作用增大外侧裂间隙，减少对正常脑组织血管的牵拉，通常在额下回三角区水平分开侧裂池蛛网膜，释放脑脊液降低脑组织张力，以进一步扩大侧裂间隙。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　（3）重要血管及功能区的保护：目前多推荐软膜下切除肿瘤，软膜下分离可最大限度地控制小血管，而对主干血管影响最小。最容易损伤的部位在M2段起始部，即豆纹动脉发出的部位，由M2段起始部向后发出的供应放射冠的长穿支损伤后仅引起上肢轻瘫，术后一般可恢复；对于M2段向内上方发出的分支（即豆纹动脉），应予避开或谨慎操作，因其损伤后更易造成瘫痪。重要回流静脉损伤也会造成术后灾难性的后果，因此术中也应予以保护。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　有文献报道16例边界不清的岛叶胶质瘤中，11例显示豆纹动脉位于肿瘤内侧，因此豆纹动脉位于肿瘤内侧时手术切除应小心操作，遇到豆纹动脉应停止切除肿瘤。肿瘤与侧裂池血管及分支粘连紧密时不要强求全切除肿瘤，否则可能引起严重后果。术中可采用罂粟碱棉片湿敷以防止血管痉挛。深部结构判断：如创面出血突然增多，发现长而细的血管（即豆纹动脉），并且质地稍韧则提示到达基底节区。向前可见一灰褐色、边界清楚的核团，即尾状核头，如不慎当做肿瘤切除，也不一定出现瘫痪。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　向后则可见由外向内的三层结构：岛叶皮质、白质（质地较柔软）及内囊。白质内含有基底节核，如豆状核，质地稍韧，色微灰白色；再向内侧为内囊，质地最韧，术中应注意把握深度。有资料指出，内囊膝部和后肢由外侧豆纹动脉和脉络膜前动脉供应，而内囊前肢则由内侧豆纹动脉供应，因此，与内侧豆纹动脉的损伤相比，外侧豆纹动脉的损伤可引起更严重的肢体活动障碍。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　目前学者多主张分块切除肿瘤，谢坚等主张肿瘤切除按以下顺序在M2各分支间隙内进行：1）岛（肿瘤）顶点区；2）颞盖下肿瘤；3）额盖下肿瘤；4）后部（额顶盖下）肿瘤；5）内侧区域。如果肿瘤严重侵犯额颞叶，则以环岛沟为界整体切除。在颞叶顺着环岛沟切除，然后向内下方切开侧脑室，脑室之外的部分进行整体切除，直至脉络裂。如有癫痫症状，颞叶内侧的钩回及杏仁核应予以切除，此处可看到动眼神经和脑干。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　额叶的切除限于额前部岛盖，对额后和顶叶应谨慎。高级别胶质瘤如有手术残留则容易出血，若血肿形成则偏瘫等并发症增多，故血供丰富的高级胶质瘤应尽可能解剖全切除。累及Broca区等功能区的胶质瘤可进行较彻底切除，功能仍可以大部分恢复，因为绝大多数发生了功能移位。对于侵及额颞叶的岛叶胶质瘤尽可能全切除，扩大切除右侧颞叶影响很小，而左侧颞叶则只限于切除颞下回中前部、杏仁核及钩回，而额岛胶质瘤比颞岛胶质瘤更容易引起瘫痪。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　（4）应用相关技术辅助手术：应用影像导航技术、术中超声、体感诱发电位（SSEP）监测及术中唤醒功能区监测等技术后，由手术造成的长期功能缺失从早期常规手术的9%降至6%，而在低级别胶质瘤中降至3.9%。当前岛叶手术仍面临两个难点：一是豆纹动脉的辨别和保护；二是岛叶后部的胶质瘤手术。通过术中的高分辨率结构成像并实施更新导航，可以明确手术是否已到达屏状核或更深的层面，从而更加有效地保护穿行的豆纹动脉；而通过语言功能区的功能定位，锥体束、弓状束的术前及术中重建并更新导航，可以近似实时地了解这些结构的位置，结合术中电生理监测技术可以有效规避岛叶后部毗邻的重要结构，如中央前后回下端、Wernicke区等。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　此外，对于复杂性岛叶胶质瘤（岛叶后部胶质瘤），在进行术中MRI检查和功能神经导航的情况下，选择经皮质造瘘进行手术，可获得较为理想的手术结果。术中B超仅仅用于脑深部小肿瘤不易定位者，而对于深部肿瘤少量残留者并不适用。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　三、岛叶胶质瘤的综合治疗及预后</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　由于岛叶胶质瘤很少发生远处转移，即使复发也多限于原发灶周围2 cm内，且肿瘤的切除程度与预后密切相关，所以一般主张以手术切除为主，同时辅以放、化疗及免疫治疗等综合疗法。由于肿瘤位于重要功能区附近，应选择对周围正常脑组织及造血系统的影响较小的放疗方式，如间质内放疗、立体定向放疗、三维适形放疗等。关于术后化疗，楼美清等拉列建议术后若肿瘤病理按WHO分类有间变，则加用化疗。但由于胶质瘤多数属于低度恶性肿瘤，术后是否采用放化疗一直未达成共识。亦有文献报道放射治疗可能引起远期脑卒中的发生。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　一般认为对于高级别胶质瘤，术后进行规范放、化疗可以改善患者预后，降低复发风险，对于复发的、未能完全切除的或无法切除的低级别胶质瘤，建议术后进行规范的化疗。另外胶质瘤的免疫治疗、基因治疗、光动力学等研究是近年来的新热点，势必会弥补其他治疗的不足。周劲旭等。对影响岛叶胶质瘤预后的多因素分析显示，术前卡氏评分（KPS评分）、病理级别和切除程度是影响患者预后的独立因素，术后规范化的放、化疗对于改善患者预后及降低术后复发风险是有益的。另有文献报道具有血管危险因素（高血压、糖尿病、吸烟）、中老年男性、肿瘤与血管关系密切、病理含有星形细胞成分及侧裂入路全切除者等因素，有并发远期脑梗死的可能。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　李智奇等提出相对有效锥体柬的概念，对患者运动功能预后及治疗有其指导意义。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　四、展望</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　随着显微技术、影像学及术中监测技术等的发展，对岛叶胶质瘤的治疗正在向保功能、精准微创、全切除肿瘤方向逐步迈进。此外，基础学科的发展也为胶质瘤的治疗提供新的治疗理念及方法，如神经分子生物学、免疫学、基因蛋白组学及细胞生物学等。研究发现一种少突胶质前体细胞可能与胶质瘤的发生有关，这将为治疗胶质瘤提供新的途径。鉴于对肿瘤干细胞、热休克蛋白27及表观遗传学研究等的进展，从胶质瘤的发生、诊断以及治疗都将发生革命|生改变。综上所述，岛叶胶质瘤的治疗不仅需要多学科、多领域的研究，也需要相关各科室的协作，即目前所倡导的多学科协作诊疗模式的深入推进，这样将会大大提高胶质瘤患者的预期寿命及生活质量。</p>\n<p>&nbsp;</p>","barId":"1337","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"9677","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"原发性脑干胶质瘤是什么原因导致","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1513847776631.jpg\" title=\"原发性脑干胶质瘤是什么原因导致\" alt=\"原发性脑干胶质瘤是什么原因导致\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">原发性脑干胶质瘤是什么原因导致</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">这个并没有明确的病因，肿瘤的性质几乎皆为</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">胶质瘤</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，以星形细胞瘤和多形胶质母细胞瘤最多见，部分可为神经节胶质瘤和室管膜瘤。位于脑干上段主要是低度恶性星形细胞瘤而脑干下段则以胶质母细胞瘤居多。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">脑肿瘤中胶质细胞瘤发病率最高，约占</span>40.49%，综合发病年龄高峰在30-40岁，或10-20岁。脑干肿瘤（脑干胶质瘤）占颅内肿瘤的1.4%。主要为神经胶质瘤，其中以星形细胞瘤和极性成胶质细胞瘤较为多见，其次是少枝胶质细胞瘤、室管膜胶质瘤、髓母细胞瘤,此外还可见到血管瘤(包括血管网织细胞瘤)。</span></p><p><br/></p>","barId":"1337","topicTypeId":null,"topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2}],"pageObj":{"list":[{"id":"f08b19ae9e6911e9972100163e0462f1","isDel":0,"createAt":1562251345582,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","targetUserId":null,"topicId":"2971","replyPid":null,"reply":"<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; text-align: center;\"><img src=\"http://01luntan.com/ly_img/uimgs/1554739907474.png\" title=\"更利于胶质瘤康复的饮食结构\" alt=\"更利于胶质瘤康复的饮食结构\" width=\"150\" height=\"150\"/></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal;\"><br/></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\">下载二维码微信识别，观看傅相平教授主讲《脑胶质瘤解密》，看完对这个病就完全明白了</span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: 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19px;\">欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说</span></p><p><br/></p>","floor":1,"isAdopt":0,"type":0}],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":1,"totalPage":1,"totalRow":1},"loginUser":null,"replies":[{"id":"f08b19ae9e6911e9972100163e0462f1","isDel":0,"createAt":1562251345582,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","targetUserId":null,"topicId":"2971","replyPid":null,"reply":"<p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; text-align: center;\"><img src=\"http://01luntan.com/ly_img/uimgs/1554739907474.png\" title=\"更利于胶质瘤康复的饮食结构\" alt=\"更利于胶质瘤康复的饮食结构\" width=\"150\" height=\"150\"/></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal;\"><br/></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\">下载二维码微信识别，观看傅相平教授主讲《脑胶质瘤解密》，看完对这个病就完全明白了</span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; text-align: center;\"><img src=\"http://01luntan.com/ly_img/uimgs/1557585604311.jpg\" title=\"更利于胶质瘤康复的饮食结构\" alt=\"更利于胶质瘤康复的饮食结构\" width=\"250\" height=\"343\"/><br/></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-size: 19px; line-height: 38px; font-family: 宋体;\"></span><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\">欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说</span></p><p><br/></p>","floor":1,"isAdopt":0,"type":0,"nickNameHead":null,"targetHead":null,"username":null,"nickName":null,"nickNameId":null,"targetNickName":null,"targetId":null,"targetUsername":null,"topicTitle":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"forumUserActiveInfo":{"id":"fd502687f19a11e6a61c00163e04584d","isDel":0,"createAt":1486955865846,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":1588636711945,"updateBy":"84404015eff611e6a61c00163e04584d","updateName":"13911686944","userId":"84404015eff611e6a61c00163e04584d","topicCount":1669,"replayCount":744,"favorteCount":0,"beFavorteCount":0,"creamCount":229,"focusCount":2,"fansCount":2,"integralCount":3316,"foodCouponCount":9360,"lastLoginTime":0,"lastLoginIp":null,"downloadCount":0,"uploadCount":0},"forumUserIdentificateDto":{"id":"b24baed2f19b11e6a61c00163e04584d","isDel":0,"createAt":1486956169485,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","realName":"hng ","certifiedStatus":2,"phone":"13911686944","email":"hgfhgf@qq.com","hospitalId":"14654","departmentId":"2085","illName":"良性阵发性位置性眩晕","illId":"d3249cd6a90711e7a3d800163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1532705618392.png","idCardImg":"","identityType":2,"stop":0,"departmentName":"耳鼻咽喉头颈外科","hospitalName":null},"forumUserFans":null,"lyClickLike":null,"likeClicks":0,"noLikeClicks":0,"checkcode":null,"replyPidReply":null}],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"2971","isDel":0,"createAt":1486484509412,"createBy":"6f08827db09911e6927f00163e04584d","createName":"海总剑客","updateAt":0,"updateBy":null,"updateName":null,"userId":"6f08827db09911e6927f00163e04584d","title":"更利于胶质瘤康复的饮食结构","content":"<ul class=\"detailc list-paddingleft-2\" style=\"list-style-type: none;\"><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　胶质瘤的发病率位居脑瘤首位，给人们的生活造成了很大的困扰。早日康复成为所有胶质瘤患者的共同心声。疾病的康复除了正规治疗之外，同时也少不了日常饮食保健的辅助。那么，胶质瘤患者在治疗期间应该如何调整饮食结构更利于康复呢?</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　1、调整饮食结构，摄取营养丰富、全面的食物，摄取含有丰富蛋白质、氨基酸、高维生素的食物。胶质瘤患者饮食应保证每天有一定量的新鲜蔬菜，提倡摄入全谷食物，保证有足量的微量元素及饮食纤维素。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　2、胶质瘤患者饮食要多摄入有利于毒物排泄和解毒的食物，如绿豆、赤小豆、冬瓜、西瓜等，促使毒物排泄。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　3、宜进抗脑瘤的食物，如小麦，薏米，荸荠，海蜇，芦笋，炸壁虎，炸全蝎，炸蜈蚣，炸蚕蛹，鲎，海带。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　4、宜吃具有防治颅内高压作用的食物：玉米须，赤豆，核桃仁，紫菜，鲤鱼，鸭肉，石莼，海带，蟹，蛤蜊。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　5、胶质瘤患者宜吃具有保护视力的食物：菊花，马兰头，荠菜，羊肝，猪肝，鳗鲡。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　6、宜吃具有保护颅内血管作用的食物：芹菜，荠菜，菊花脑，茭白，向日葵籽，海带，海蜇，牡蛎，文蛤。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　7、宜吃具有防护化疗，效疗副作用的食物：香菇，银耳，黑木耳，黄花菜，核桃，芝麻，向日葵籽，猕猴桃，羊血，猪血，鹅血，鸡血，莲子，绿豆，薏米，鲫鱼，青豆，鲟，鲨鱼，梅，杏仁，佛手。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　8、患者应避免食用含有致瘤因子的食物，如腌制品、发霉的食物、烧烤烟熏类食品等，同时避免使用某些食品附加剂，农药污染的农作物等。</p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　<strong>　温馨提示：</strong>胶 质瘤细胞破坏正常的神经功能区域，产生神经破坏症状如肢体运动障碍、言语障碍。胶质瘤细胞刺激脑神经后会产生癫痫症状，包括抽搐、口吐白沫、牙关紧闭、大 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