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目的 探讨儿童颅咽管瘤的病理特点以及手术切除和下丘脑损害的防治。方法 对189例儿童颅咽管瘤的CT、MRI影像学资料、手术所见及术后病理等进行分析。结果 189例中 ,囊性瘤体 187例 (98.9% ) ,其中钙化 176例 (93.1% ) ,实性瘤 2例 (1.1% ) ;牙釉质型颅咽管瘤 188例(99 5 % ) ,鳞状上皮乳头型 1例。肿瘤与下丘脑间有胶质增生层。生长方向有 :鞍内型 ,柄后型 ,柄前 视交叉型 ,视交叉前型 ,柄侧型。结论 儿童颅咽管瘤主要以囊性伴钙化为其病理特点 ,肿瘤与下丘脑、垂体柄的关系、以及保护这些重要结构是决定能否全切除肿瘤的重要因素。
Objective To investigate the pathological features of children with craniopharyngioma and surgical resection and hypothalamic damage prevention and treatment. Methods 189 cases of children with craniopharyngioma CT, MRI imaging data, surgical findings and postoperative pathology were analyzed. Results Among the 189 cases, there were 187 cases (98.9%) of cystic tumors, including 176 cases (93.1%) of calcifications and 2 cases of solid tumors (1.1%), 188 cases (99.5%) of enamel craniopharyngiomas, Squamous papillary type in 1 case. Between the tumor and the hypothalamus glial layer. Growth direction are: saddle-type, handle after the type, the former aspectar cross-type, pre-optic-type, handle-side type. Conclusions Craniopharyngioma in children with cystic calcification as the main pathological features of the tumor and the hypothalamus, pituitary stalk relations, and the protection of these important structures is to decide whether the total excision of the tumor can be an important factor.