Relevant Research About Relieving Postoperative Cerebral Edema And Reducing Intracranial Pressure Of The Glioma Located In Lateral Fissure Area By Means Of Cutting Tentorium Of Cerebellum

Objective: Glioma located in lateral fissure area is the one of the commontumor. The complex anatomy, the number of blood vessels, rich bloodsupply, the large size of the tumor all are the trait of the glioma, Seriouscomplications included brain swelling and postoperative hematoma. In theevent of intracranial hypertension(ICH) cause to hernia cerebri, inreversibleconsequence will make us confused. This paper will discuss to takerelevant measures in operation, cutting the tentorium of cerebellum,whether can effectively prevent postoperative surgical edema, avoid herniacerebri formation.Methods: Between November2010to December2012,62patients withglioma located in lateral fissure area were given to divide into experimentalgroup and control group randomly. In the experimental group, we cut thetentorium of cerebellum about1centimeter after cut off tumor for avoiding Intracranial hypertension caused hernia cerebri. In the control group we didnothing else but to cut off tumor. Count the intracranial pressure,postoperative length of stay, dosage of mannitol, The number of acute renaldysfunction, The number of second operation of2groups.Results: In the experimental group, The following data all are better thanthe control group: the intracranial pressure(11.03±2.82mmHg),postoperative length of stay（10.96±1.49d）, dosage of mannitol(28.84±4.08次). The difference was statistically significant (P＜0.05).Conclusion: About glioma located in lateral fissure area, by means ofcutting the tentorium of cerebellum, we can effectively preventpostoperative surgical edema, avoid hernia cerebri formation.