颅咽管瘤与脑底前中央空间  

Craniopharyngioma and anterior central space of brain base

作　　者：胡业帅 杨庆哲 崔刚 张腾飞 吴斌[1] Hu Yeshuai;Yang Qingzhe;Cui Gang;Zhang Tengfei;Wu Bin(Department of Neurosurgery,Sanbo Brain Hospital,Capital Medical University,Beijing 100093,China)

机构地区：[1]首都医科大学三博脑科医院神经外科,北京100093

出　　处：《中国医师进修杂志》2022年第8期704-708,共5页Chinese Journal of Postgraduates of Medicine

摘　　要：目的以脑底前中央空间的概念分析颅咽管瘤的手术(解剖)入路。方法回顾性分析2021年1—12月首都医科大学三博脑科医院收治的10例颅咽管瘤患者的头颅MRI影像资料,用脑底前中央空间的观点分析颅咽管瘤生长所累及的脑池(群)范围。同时论述手术入路及选择依据。结果在所有可抵达脑底前中央空间的手术入路中,额底纵裂入路是进入脑底前中央空间的最佳手术入路。结论脑底前中央空间概念是以新的视角对脑底解剖进行新的观察与阐释,进而提出了脑底手术的新理念。作为分析此区域之手术解剖的新工具,其包涵有重要的临床意义。Objective To analyze the surgical(anatomical)approach of craniopharyngioma based on the concept of anterior central space of brain base.Methods The clinical data of MRI images of 10 cases of craniopharyngioma who treated in Sanbo Brain Hospital,Capital Medical University from January 2021 to December 2021 were analyzed retrospectively.The brain cisterns involved in the growth of craniopharyngioma were analyzed from the perspective of anterior central space of brain base.Meanwhile,the surgical approach and the basis of selection were discussed.Results Among all the surgical approaches that can reach the anterior central space of the brain base,the fronto-basal interhemispheric approach was the best.Conclusions The concept of anterior central space of the brain base is a new observation and interpretation of the anatomy of the brain base from a new perspective,and then create a new concept of brain base surgery.As a new method to analyze the surgical anatomy of this area,its inclusion has important clinical significance.

关 键 词：颅咽管瘤 脑底前中央空间 膜锁孔 鞍上池 额底纵裂入路 

分 类 号：R739.41[医药卫生—肿瘤]