摘要
目的探讨经额底纵裂入路切除颅咽管瘤的手术方法及疗效。方法回顾性分析近期收治的12例经额底纵裂入路手术的颅咽管瘤患者临床资料。术中行发际内双额冠状切口,右额开颅,分开纵裂,暴露鞍结节-胼胝体膝部区域,根据肿瘤位置经终板、视交叉-前交通动脉间隙及视交叉前间隙切除肿瘤。结果肿瘤全切7例(58.3%),保留垂体柄12例(100%),视力改善9例(75%),未改善3例(25%)。术后并发症主要为多饮多尿、尿崩11例(91.7%),电解质紊乱10例(83.3%)。结论经额底纵裂入路颅咽管瘤切除术是治疗颅咽管瘤的安全有效方法,随着手术经验的不断积累,肿瘤全切率将不断提高,相关并发症不断降低。
Objective To explore the method and effect of craniopharyngioma resection surgery via fronto-basal interhemi- spheric approach. Methods clinical data of 12 patients, who were admitted recently and underwent s craniopharyngioma resec- tion via fronto-basal-interhemispheric approach were analyzed retrospectively. By hi-frontal coronal ireision within the hairline, right frontal craniotomy was performed. The longitudinal fissure was detached for exposing the region between the sellae tuber- cle and genu of the corpus eallosum, and the tumor was removed through the lamina terminalis, optic chiasm-anterior communi- cating artery space, or the prechiasmatic space according to the location of tumor. Results The tumor was totally removed in 7 cases（58.3 %）. The pituitary stalk was res-erved in 12 cases（100 % ）. Visual improvement in 9 cases（75 %）, and no improve- ment was found in 3（25%） cases. The main complications were polydipsia and polyuria, diabetes insipidus in 11 （91.7 %）ca- ses; electrolyte disturbance in 10（83.3 %）cases. Conclusion The surgery via fronto-basal-interhemispheric approach for remo- ving craniopharyngioma, which was spearheaded by our treatment group in Yunnan Province, is safe and effective methods for craniopharyngioma resection; with the accumulation of surgical experience, the rate of total resection of tumor will continue to increase, and related comnlications will continue to reduce.
出处
《中国实用神经疾病杂志》
2014年第5期53-54,共2页
Chinese Journal of Practical Nervous Diseases
关键词
颅咽管瘤
经额底纵裂入路
Craniopharyngioma
Resection
Fronto-basal-interhemispheric approach
