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目的 :探讨切除颅咽管瘤的手术入路和显微手术技巧。方法 :本组颅咽管瘤 5例。其中 2例为实质性视交叉后肿瘤、1例为实质性鞍内鞍上型肿瘤、2例为囊性肿瘤。采用不同的手术入路 (双侧额、翼点和经蝶窦手术入路 )进行肿瘤切除。结果 :4例经颅手术的病例皆达全切除 ,1例鞍上鞍内型肿瘤采用经蝶窦手术次全切除。所有病例恢复良好。结论 :根据肿瘤不同质地、部位和范围 ,采用恰当的手术入路 ,结合应用熟练的显微技巧 ,可以取得良好的临床疗效
Objective: To investigate the surgical approach and microsurgical skills in the removal of craniopharyngioma. Methods: 5 cases of craniopharyngioma in this group. Two of them were substantial posterior crosscochlear tumors, one was a suprasellar saddle tumor, and two were cystic tumors. Tumor resections were performed using different surgical approaches (bilateral frontal, pterional and transsphenoidal approaches). Results: Four cases of transcranial surgery were achieved total resection, one case of saddle suprasellar tumors by subtotal resection of transsphenoidal surgery. All cases recovered well. Conclusion: According to the tumor of different texture, location and scope, the use of appropriate surgical approach, combined with the application of skilled micro-techniques, can achieve good clinical efficacy