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本文对78例颅咽管瘤的临床症状、CT和手术病理所见进行对照.常见症状为颅内压增高症(79.5%)、视力视野障碍(78.2%)和内分泌功能紊乱症(55.1%).肿瘤单纯位于鞍上者上述三种症状发生率大致相同.而鞍上肿瘤向第三脑室或前颅凹延伸时,以前两种症状为主.肿瘤中囊型55例,实体型23例,发生钙化占78.2%,脑室扩张占76.9%.实体型肿瘤常有增强(13/15),5例囊型肿瘤的壁结节亦有显著增强.作者认为鞍上肿瘤钙化、囊肿形成、瘤体发生增强及幕上脑室扩张是该瘤的特征性表现.本文还讨论了该瘤的鉴别诊断.
In this paper, 78 cases of craniopharyngioma clinical symptoms, CT and surgical pathology were compared.Common symptoms were intracranial hypertension (79.5%), visual field disorders (78.2%) and endocrine disorders (55.1%), .The tumor was located in the saddle on the above three kinds of symptoms the same incidence of approximately the same time, while the saddle tumor to the third ventricle or anterior cranial recess extension, the former two kinds of symptoms mainly tumor in cystic type 55 cases, solid type in 23 cases, Occurrence of calcification accounted for 78.2%, ventricular expansion accounted for 76.9%. Solid tumors often enhanced (13/15), 5 cases of cystic tumor wall nodules also significantly increased.The authors believe that suprasellar calcification, cyst formation, tumor Occurrence of supratentorial ventricular dilatation is a characteristic manifestation of the tumor.This article also discusses the differential diagnosis of the tumor.