经胼胝体-穹隆间入路切除突入第三脑室内颅咽管瘤  

Microsurgical treatment of craniopharyngiomas extending outside suprasellar cistern into third ventricle through transcallosal - interfornix approach

作　　者：刘雪松[1] 毛庆[1] 刘艳辉[1] 游潮[1] 姜曙[1] 蔡博文[1] 刘家刚[1] 

机构地区：[1]四川大学华西医院神经外科,成都610041

出　　处：《中华神经外科杂志》2009年第12期1065-1067,共3页Chinese Journal of Neurosurgery

摘　　要：目的探讨切除鞍上突入第三脑室内颅咽管瘤的显微手术入路及疗效。方法经胼胝体-穹隆间入路显微手术切除46例突人第三脑室内的颅咽管瘤。结果肿瘤全切33例，近全切10例，部分切除3例；随访46例，随访时间3个月-15年，其中39例术后恢复正常工作和生活，8例术后复发。结论经胼胝体-穹隆间入路切除第三脯室颅咽管瘤疗效显著。此入路能最大限度地保护正常脑组织，并在明显提高肿瘤全切率的同时做到较少的术后并发症。Objective To discuss the effectiveness and microsurgical techniques of resection of the craniopharyngiomas protruding from the suprasellar region into the third ventricle. Methods Forty - six patients who were microsurgically treated through the transeallosal - interforuiceal approach for craniopharyngiomas protruding from the suprasellar region into the third ventricle were evaluated. Results Total removal of the lesion was achieved in 33 cases, 10 patients subtotal resection, and 3 partial removal. We followed up all of the patients from three months to fifteen years. There were thirty - nine patients coming back to the normal life, 8 patients got recurrence. Conclusion The transcallosal - intefforuiceal approach is a valid choice for removal of craniophapyngiomas protruding from suprasellar region into third ventricle. Through this approach, total resection rate could be improved significantly. At the same time, protection of normal brain tissue and reduction of post - operation complications could be achieved.

关 键 词：颅咽管瘤 第三脑室 胼胝体-穹隆间 

分 类 号：R686[医药卫生—骨科学]