摘要
目的 通过对立体定向术治疗囊性颅咽管瘤的回顾性分析，总结手术经验。方法 应用Leksell-D／G型定向仪，本组170例患者中，24例仅行肿瘤囊腔穿刺冲洗术，15例单纯穿刺冲洗后注入8～16mg平阳霉素行囊腔内化疗，131例行肿瘤囊腔穿刺冲洗术及囊腔侧脑室分流术。结果 169例患者术后症状缓解，术后随访135例中，42例复发，其中，28例为单纯穿刺冲洗及穿刺冲洗后注入平阳霉素，14例为定向分流术后，35例失随访。结论 立体定向术治疗囊性颅咽管瘤可迅速缓解患者临床症状，对脑组织损伤小，术后并发症较少且较轻微，其中，定向分流术长期疗效优于单纯穿刺肿瘤囊腔冲洗及冲洗＋平阳霉素内化疗。
Objective A retrospective review of 170 patients with cystic craniopharyngioma who underwent stereotactic surgery. Methods 170 cases were operated by Leksell-D/G stereotactic appartus, including 24 cases of cyst punture, 15 cases of cyst punture and bleomycin injection, 131 cases of cyst ventricle shunt. Results 169 cases have improved their clinical conditions. 135 cases were observed within 2 months-8 years postoperatively, in which 42 cases recurred, including 28 cases of cyst punture and 14 cases of cyst ventricle shunt. Conclusion Stereotaxy is an effective and safe method to treat cystic craniopharyngioma.
出处
《立体定向和功能性神经外科杂志》
2006年第2期93-95,共3页
Chinese Journal of Stereotactic and Functional Neurosurgery
关键词
立体定向
囊性颅咽管瘤
Stereotaxy
Cystic craniopharyngioma
