颅咽管瘤显微手术治疗体会  

The experience of surgical treatment for craniopharyngiomas

作　　者：裴喜乐[1] 郝解贺[1] 

机构地区：[1]山西医科大学第一临床医学院神经外科,太原030001

出　　处：《山西医科大学学报》2011年第3期247-248,共2页Journal of Shanxi Medical University

摘　　要：目的总结30例颅咽管瘤手术治疗经验。方法回顾分析30例颅咽管瘤患者的临床资料。结果肿瘤全切除25例(83.3%),近全切除3例(10.0%),大部切除2例(6.7%)。垂体柄保留者19例(63.3%),切断4例(13.3%),不能鉴别7例(23.4%)。本组术后6例发生并发症,其中尿崩症3例(10.0%),脑脊液鼻漏3例(10.0%)。结论术前通过影像资料评估颅咽管瘤与第三脑室、垂体和视交叉的关系,选择合适的手术入路可获得较好的肿瘤切除并有效降低术后并发症。Objective To sum up the surgical experience for treating craniopharyngiomas.Methods The clinical data of 30 cases of craniopharyngiomas were retrospectively analyzed.Results Total resection was performed in 25 cases（83.3%）,subtotal resection in 3 cases（10.0%）,and partial resection in 2 cases（6.7%）.The pituitary stalk was preserved in 19 cases（63.3%）,cut in 4 cases（13.3%）,and was unidentified in 7 cases（23.4%）.After operation,3 patients（10.0%）complicated with diabetes insipidus,and 3（10.0%）with sphenoidal cerebrospinal fluid rhinorrhea.Conclusion It is essential to perform the preoperative neuroimaging evaluation of the relations between the third ventricle,the pituitary and the optic chiasma.To choose the proper approach can lead to a good result of the resection of the tumor and reduce the occurrence of complications.

关 键 词：颅咽管瘤 显微手术 治疗 

分 类 号：R739.41[医药卫生—肿瘤]