摘要
目的颅咽管瘤是鞍区常见的先天性良性肿瘤,手术治疗为主要的治疗方法。本文结合文献探讨颅咽管瘤显微外科手术方法和影响手术效果的因素。方法回顾性分析38例经显微外科手术和病理证实的颅咽管瘤的临床特点,影像学和手术疗效。结果本组38例,手术全切除术23例,次全切除术12例,大部分切除3例;术后放疗18例,OUR-XGD旋转式伽玛刀治疗6例。本组31例获得随访6～42个月(平均29个月),19例工作、学习正常,4例1年后复发,2例死亡。结论充分认识颅咽管瘤的临床特征,正确运用显微外科技术和手术处理原则,是治疗颅咽管肿瘤的关键,术后给予放疗和伽玛刀补充治疗,能有效的延长患者的生存时间,提高生存质量。
objective The Craniopharyngioma is a familiar and congenital benign tumor, surgical operation treatment of sella area for the treatment method that main. The surgical operation that this text join together the cultural heritage to study the Craniopharyngioma mierosurgery surgical operation the method with affect factor cures the result. Methods The Craniopharyngioma clinical characteristics, image review analyzes 38 examples confirm with the pathology through the microsurgery surgical operation to learn to cure tile result with surgical operation. Results This 38 examples, surgical operation whole excision surgical operation 23 examples, time whole excision surgical operation 12 examples, big part cut off the surgical operation 3 example; After operation project the treatment 18 examples, OUR-XGD revolve type gamma the knife cure 6 example. This 31 examples get of with visit 6-42 month （average 29 months）, 19 example the work, study is normal, 4 examples relapse after a year, 2 example death. Conclusions The clinical characteristic of the further cognition Craniopharyn- gioma, right application the microsurgery technique handle the principle with surgical operation, and is the key of the Craniopharyngioma to cure extension, and after operation give emanation treatment and gamma knife Complement cure, can validate to get of exist time, and increase to exist the quantity.
出处
《海南医学》
CAS
2007年第2期1-2,共2页
Hainan Medical Journal
关键词
颅咽管瘤
显微外科手术
手术入路
Craniopharyngioma, microsurgery surgical operation, surgical operation is into the road
