论文部分内容阅读
目的 探讨提高手术根治颅咽管瘤的方法。方法 对 2 0例颅咽管瘤 ,均在全麻下行翼点入路 ,采用显微外科技术 ,根据肿瘤的位置 ,采用视交叉前间隙、颈内动脉和视神经间隙及颈内动脉外侧等间隙切除肿瘤。结果 全切除 16例、近全切除 3例、大部切除 1例。近期明显好转 14例、改善 4例、无变化及死亡各 1例。半年以上随访 18例 ,能正常生活者 16例 ,生活需人照顾 2例。结论 翼点入路手术能满足鞍区多种类型颅咽管瘤的显露 ,能提高肿瘤全切率及治愈率。
Objective To explore ways to improve the operation of craniopharyngioma. Methods Twenty cases of craniopharyngiomas were treated with pterional approach under general anesthesia. Microsurgery was used. According to the location of the tumor, the anteroposterior of the optic chiasm, the internal carotid artery and the optic nerve and the lateral gap of the internal carotid artery Tumor removal. Results Total resection in 16 cases, nearly total resection in 3 cases, mostly in 1 case. In the recent obvious improvement in 14 cases, improved in 4 cases, no change and death in 1 case. More than six months follow-up of 18 cases, 16 cases of normal life, living in need of care in 2 cases. Conclusion The pterional approach can meet the requirements of multiple types of craniopharyngiomas in the sellar region and improve the rate of complete resection and cure of tumors.