摘要
目的探讨颅咽管瘤的显微外科手术入路选择及治疗效果。方法回顾性分析山东大学齐鲁医院神经外科2006年1月～2009年3月收治的59例颅咽管瘤患者的临床表现、影像学资料、手术入路、肿瘤切除程度以及随访资料。结果 43例全切除,16例次全切除,无手术死亡病例,术后随访5个月～3年,平均2年,3例复发,术后50例患者症状和体征得到不同程度的恢复。结论显微外科手术治疗颅咽管瘤采取纵裂入路安全有效。
Objective To explore the operative approach in microsurgical treatment of craniopharyngioma and to evaluate its effects.Methods Clinical manifestations,imaging examinations,surgical approaches,tumor resection extent and follow-up data of 59 cases of craniopharyngioma were retrospectively analyzed.Results 43 cases of tumors were totally removed,and 16 subtotally removed.No patients died.After 5 months to 3 years of follow-up,3 cases of recurrence were found.The symptoms and signs in the 50 patients were improved in different degrees.Conclusion The inter-hemispheric approach is safer and effective for removing craniopharyngioma.
出处
《山东大学学报（医学版）》
CAS
北大核心
2010年第7期122-125,共4页
Journal of Shandong University:Health Sciences
基金
山东省卫生系统杰出学科带头人基金资助项目(2003-17)
关键词
颅咽管瘤
显微外科手术
手术入路
纵裂入路
Craniopharyngioma
Microsurgery
Operative approach
Interhemispheric approach
