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好发于儿童的颅咽管瘤,目前达到全切除的技术仍然有困难。广泛的手术操作往往会造成或者加重患者的生长发育障碍。肿瘤部分切除后的放射治疗也同样会损害丘脑下部及肿瘤邻近脑组织的功能。因此,本文作者对7例2～13岁的颅咽管瘤患者进行了争光霉素瘤内注射化疗。对治疗结果作出了评价,方法:右额颞入路显露肿瘤,抽吸囊液后,切取部分囊壁或者肿瘤组织作病理检查。然后将肿瘤与视神经分离。但当肿瘤与视神经、视交叉、视丘下部粘连不易分离时,就要放弃这一操作,避免损伤视神经和下丘脑。这时放置Ommaya装置,管端放入囊内或者埋入肿瘤组织内,
Occurs in pediatric craniopharyngiomas and it is still difficult to achieve full resection. Extensive surgical procedures often cause or aggravate patients’ growth and developmental disorders. Radiotherapy after partial tumor resection also impairs the function of the hypothalamus and adjacent brain tissue. Therefore, the authors of this article were 7 patients with craniopharyngiomas 2 to 13 years old were treated with intracellular light injection chemotherapy. The results of the treatment were evaluated. Methods: The right frontotemporal approach revealed tumors. After aspirating the cyst fluid, part of the cyst wall or tumor tissue was cut for pathological examination. The tumor is then separated from the optic nerve. However, when the tumor is not easily separated from the optic nerve, optic chiasm, and hypothalamus, it is necessary to abandon this procedure to avoid damage to the optic nerve and hypothalamus. At this time, the Ommaya device was placed and the end of the tube was placed in the capsule or embedded in the tumor tissue.