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目的： 评价儿童及青春期颅咽管瘤经蝶显微手术切除效果，寻找本病手术治疗的最佳方式． 方法： 回顾性总结１１例颅咽管瘤的诊断措施、手术技巧和治疗结果． 本组均经ＣＴ或ＭＲＩ扫描确诊． 手术采取经唇下－鼻中隔－蝶窦入路或经鼻前庭－鼻中隔－蝶窦入路行肿瘤切除术． 结果： ６例肿瘤获全切除，３例次全切除，余２例为部分切除，术后无死亡． ８例获长期随访（平均２．６ ａ），有６例恢复良好，２例影像学检查提示肿瘤复发，需行再次手术治疗． 结论： 对儿童及青春期颅咽管瘤选择合适病例经蝶入路显微手术切除，是一种安全、有效的方法．
Objective: To evaluate the effect of transsphenoidal microsurgical resection in children and adolescent craniopharyngiomas, and to find out the best way to treat this disease. Methods: A retrospective review of 11 cases of craniopharyngioma diagnosis, surgical skills and treatment results. This group were confirmed by CT or MRI scan. Surgical resection via lip - nasal septum - sphenoid sinus approach or nasal vestibule - nasal septum - sphenoid sinus approach. Results: All the tumors were resected in 6 cases, subtotal resection in 3 cases and partial resection in 2 cases. There was no postoperative death. Long-term follow-up was obtained in 8 cases (average 2.6 years). Six cases recovered well. Two cases of imaging examination revealed tumor recurrence and required further surgical treatment. Conclusion: It is a safe and effective method to choose microsurgical resection for transcranial transsphenoidal approach in children and adolescent craniopharyngiomas.