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目的研究颅咽管瘤的经蝶窦入路手术适应症、效果、优点及相关的手术技术。方法回顾分析我院经蝶手术治疗的12例颅咽管瘤资料。手术前后检查视力视野、检测手术前后内分泌激素水平变化以及尿量、尿比重。结果本组患者全切10例,次全切2例,无死亡病例。术后患者视力改善明显,与术前相比内分泌情况无明显恶化。结论选择合适的病例,采用经蝶窦入路手术治疗颅咽管瘤可以达到良好的预后结果,手术并发症少,并且对患者的内分泌情况及下丘脑、垂体柄等周围重要结构损伤较较小。
Objective To study the indications, effects, advantages and related surgical techniques of transsphenoidal approach for craniopharyngioma. Methods The retrospective analysis of 12 cases of craniopharyngioma treated by transsphenoidal surgery in our hospital. Before and after surgery to check visual field, before and after surgery to detect changes in endocrine hormones and urine output, urine specific gravity. Results In this group, 10 cases were completely excised and 2 cases were subtotally resected without any death. Postoperative visual acuity improved significantly, compared with preoperative endocrine no significant deterioration. Conclusion Choosing the right cases, the surgical treatment of craniopharyngioma by transsphenoidal approach can achieve good prognosis, less complications, and endocrine disease in patients with hypothalamus, pituitary stalk and other important structural damage around the smaller .