摘要
目的 研究经翼点入路切除颅咽管瘤的常用手术间隙和下丘脑的保护方法。方法21例经翼点入路显微手术切除的颅咽管瘤中男10例，女11例，平均年龄40岁。结果18例患者肿瘤全切除，2例次全切除，1例大部切除。术后17例患者出现多饮、多尿，16例患者有血钠紊乱，1例出现双侧丘脑梗塞，3个月恢复。术后随访1-4年，18例全切除的患者中有1例复发，行二次手术治愈。结论充分利用适当的手术间隙，保护好下丘脑的结构和穿通动脉，可以降低下丘脑损伤的发生率和提高肿瘤的切除率，获得良好的疗效。
Objective To investigate the operating spaces via a pterional approach for mierosurgical treatment of eraniopharyngiomas and protecting methods of hypothalamus. Methods 21 patients with craniopharyngiomas were operated on,10 were male and 11 female, with mean age 40 years, Pterional approach was performed in all the cases. Results Total removal of tumor were achieved in 18 eases, subtotal removal in 2 cases,partial removal in 1 case. 17 patients suffered from diabete insipidus and 16 patients had abnormal blood sodium level after surgery. Bilateral thalamic infarction occurred in 1 case and he recovered 3 months later. All the patients of post-operatlon were follow up from one year to four years. Among the 18 patients of total removal, 1 case was recurrent and was healthy after second surgery. Conclusion Making full use of operating spaces and protecting hypothalamic structure and artery branches may lower the incidence of injury to hypothalamus and achieve good surgical results.
出处
《辽宁医学杂志》
2006年第3期148-149,共2页
Medical Journal of Liaoning
关键词
颅咽管瘤
手术间隙
下丘脑
保护
raniopharyngioma operating spaces hypothalamus protect
