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目的探讨颅咽管瘤手术中关于垂体柄的合理处理方法。方法 56例颅咽管瘤患者作为研究对象,所有患者根据病情特点给予了额下视交叉前、额下终板、翼点视交叉前和额下视神经颈内动脉间隙等手术入路。结果 56例患者中有7例(12.50%)患者复发,有11例(19.64%)患者选择了次全切除。12例患者出现手术并发症,并发症发生率为21.43%。结论在进行颅咽管瘤手术治疗过程中,对垂体柄进行科学、合理的处理,可有效改善临床症状,为患者后期的治疗及康复奠定良好的基础。
Objective To explore the reasonable treatment of pituitary stalk in craniopharyngioma surgery. Methods Fifty-six patients with craniopharyngioma were enrolled in this study. All patients underwent surgical approaches such as anterior inferior frontal crossover, frontal inferior lamina, anterior optic chiasm of the anteroposterior vertebrae, and anterior inferior cervicalis internal carotid artery. Results Of the 56 patients, 7 (12.50%) patients relapsed and 11 (19.64%) patients underwent subtotal resection. Twelve patients had surgical complications, the complication rate was 21.43%. Conclusion During the surgical treatment of craniopharyngioma, the treatment of pituitary stalk is a scientific and reasonable treatment, which can effectively improve the clinical symptoms and lay a good foundation for the treatment and rehabilitation of patients after craniopharyngioma surgery.