摘要
目的探讨经额底纵裂入路切除颅咽管瘤的手术方法和疗效。方法回顾性分析83例经额底纵裂入路手术的颅咽管瘤病人的临床资料。其中复发性颅咽管瘤33例。术中行双额冠状切口,右额开颅,牵开额底纵裂,暴露鞍结节-胼胝体膝部区域,根据肿瘤位置可经终板、视交叉-前交通动脉间隙及视交叉前间隙切除肿瘤。结果肿瘤全切除81例(97.6%);保留垂体柄58例(69.9%),未见垂体柄2例(2.4%),因肿瘤已完全侵蚀垂体柄,将其与肿瘤组织一并切除23例(27.7%)。视力改善68例,未改善15例。术后并发症主要为多饮多尿81例,电解质紊乱79例。结论经额底纵裂入路是治疗颅咽管瘤安全有效的方法。
Objective To explore the method and effect of surgery via fronto-basal interhemispheric approach for removing craniopharyngioma. Methods Clinical data of 83 patients who underwent surgery for craniopharyngioma via fronto-basal interhemispheric approach were analyzed retrospectively. Thirty-three patients suffered a recurrence of the tumor. By bifrontal coronal incision, right frontal craniotomy was performed. The longitudinal fissure was detached for exposing the region between the sellar tubercle and genu ...
出处
《中国微侵袭神经外科杂志》
CAS
2008年第8期341-343,共3页
Chinese Journal of Minimally Invasive Neurosurgery
关键词
颅咽管瘤
额底纵裂入路
神经外科手术
craniopharyngioma
fronto-basal interhemispheric approach
neurosurgical procedures