摘要
本文报告显微手术全切颅咽管瘤28例,术后死亡1例。随访6月～4年8个月神经功能障碍均有不同程度改善,其中CT复查9例均无肿瘤复发。本文介绍手术入路,并着重介绍翼点人路肿瘤切除时所采用的4个解剖间隙,以及各间隙重要结构和切除肿瘤时应注意事项。
Total resection of 28 craniopharyngiomas withmicrosurgery is reported. There were 19 men and9 women with ages ranging from 4 to 52 years, 27cases operated by right pterional approach, onecase with transcallosal approach. The diagnosis ofthese patients were confirmed pathologically. Onepatient died from gastrobrosis one month after opera-tion. The postoperative condition of the remainswere good, CT scans were performed in 9 cases.There were tumor recurrence in follow up stage.Four interplaces were introduced for the resectionof the tumors as follows: (1) preoptic chiasm;(2) gap between optic nerve (or tract) and ICA;(3) lateral part of ICA; (4) retro-optic chiasm.The authors point out some important structuresmay be seen through those interplaces. The skilltechniques in removing the tumors and protect theimportant structures through each interplace arediscussed. The process of transcallosal approach forextirpation of third ventricle tumor and sellectionof approach for different types of tumors are alsodiscussed.
出处
《中华神经外科杂志》
CSCD
北大核心
1992年第1期11-13,共3页
Chinese Journal of Neurosurgery
