颅咽管瘤的经蝶窦入路手术治疗  

Transsphenoidal surgery in treatment of craniopharyngiomas

作　　者：杜世伟[1] 徐祎[1] 田荣[1] 高天[1] 汪晶[1] 白志峰[1] 朱海波[1] 杨杨[1] 张隆辉[1] 毛更生[1] 

机构地区：[1]中国人民武装警察部队总医院神经血管外科,北京100039

出　　处：《临床神经外科杂志》2013年第5期274-276,共3页Journal of Clinical Neurosurgery

摘　　要：目的研究颅咽管瘤的经蝶窦入路手术适应症、效果、优点及相关的手术技术。方法回顾分析我院经蝶手术治疗的12例颅咽管瘤资料。手术前后检查视力视野、检测手术前后内分泌激素水平变化以及尿量、尿比重。结果本组患者全切10例,次全切2例,无死亡病例。术后患者视力改善明显,与术前相比内分泌情况无明显恶化。结论选择合适的病例,采用经蝶窦入路手术治疗颅咽管瘤可以达到良好的预后结果,手术并发症少,并且对患者的内分泌情况及下丘脑、垂体柄等周围重要结构损伤较较小。Objective To study surgical indication,outcome,advantage of transsphenoidal microsurgery in the teatment of craniopharyngiomas. Methods The clinical data of 12 patients with craniopharyngiomas underwent transsphenoidal mirosurgery were analyzed retrospectively. All patients underwent visual acuity,field and endocrine examination before and after craniopharyngioma operation respectively. The urine volume and specific gravity were monitored. Results Total resection were achieved in 12 cases and subtotal in 2. There was no postoperative mortality in this group. Visual function recovered profoundly,while endocrine function interferences were minimal after transsphenoidal microsurgery. Conclusions Transsphenoidal approach, when used in appropriately located craniopharyngiomas and by neurosurgeons with extensive experience in pituitary surgery,may give excellent results with minor risks.

关 键 词：颅咽管瘤 经蝶窦手术 内分泌影响 

分 类 号：R739.41[医药卫生—肿瘤]