摘要
目的评价小骨窗前纵裂入路在颅咽管瘤手术中的应用价值及并发症。方法经小骨窗前纵裂入路切除巨大颅咽管瘤17例,对手术技术及结果进行总结。结果本组全切除15例、近全切除2例,无手术死亡病例。由于术中直视下处理肿瘤在垂体漏斗部位的粘连,可较好保护垂体柄、下丘脑结构及局部穿支血管,13例患者超过2年的随访未见肿瘤复发及再生长。结论经小骨窗前纵裂入路可直视下处理肿瘤鞍内、鞍上及三脑室前部分,是鞍上生长位置较高的大型颅咽管瘤安全有效的手术入路之一。
Objective To establish the usefulness of the frontobasal approach made through a relatively small craniotomy window for the removal of large craniopharyngiomas. Methods 17 patients who were surgically treated for craniopharyngiomas by using a frontobasal approach made through a relatively small craniotomy window were evaluated. Results Total removal of the lesion was achieved in 15 cases, two patients underwent subtotal resection, None of the patients died during follow up ; Via this approach, tumors can be removed without significant sequelae related to the surgical method, due to ease of preservation of the pituitary stalk, hypothalamic structures, and perforating vessels. Thirteen patients were followed up for at least 2 years, none of them suffered from tumor recurrence or regrowth. Conclusions The authors conclude that the frontobasal interhemispheric approach, even made through a small craniotomy window, offers a safe and minimally invasive means of treating large craniopharyngiomas.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
2007年第3期146-149,共4页
Chinese Journal of Nervous and Mental Diseases
关键词
颅咽管瘤
前纵裂入路
终板
Craniopharyngioma Frontobasal interhemispheric approach Lamina Terminalis
作者简介
通讯作者（E-mail：panjundu@fimmu．com）Tel：020 -61641806
