四川大学学报(医学版)2011,Vol.42Issue(5):730-732,744,4.
后颅凹颅咽管瘤的临床特点及手术治疗
The Clinical Features and Perioperational Managements of Craniopharyngiomas in Posterior Fossa
摘要
Abstract
Objective To investigate the clinical features and penoperational managements of craniophayngiomas located in posterior fossa. Methods Nine patients with craniopharyngioma situated in posterior fossa were included in the study. The clinical manifestations, neuroimage features, operational treatment, and perioperational managments were retrospectively analyzed. Results All tumors associated with big or huge volume, arised from sellar/suprasellar region and extended into posterior fossa. Tumors showed cystic lesions in 2 cases and cystic-solid lesions in 7 cases. Headache was the most common symptoms (6/9), followed by cranial nerve deficit (4/9) and endocrine dysfunction(3/9). The supra- and infra-tentorial approaches were the optimal approaches for removal these tumors (7/9). Cranial nerves deficit was the most common complication in perioperative period. No perioperational death occurred, most of the patients showed good recovery during the fellow-up period. Conclusion Craniophayngiomas in posterior fossa shows different clinical manifestations, radiological features, surgical complications to the tumor in sellar/suprasellar region.关键词
颅咽管瘤/后颅凹/诊断/治疗Key words
Caniopharyngioma/Posterior fossa/Diagnosis/Treatment引用本文复制引用
陈茂君,吴孟航,周良学,段丽娟,李鹏程,徐建国,游潮..后颅凹颅咽管瘤的临床特点及手术治疗[J].四川大学学报(医学版),2011,42(5):730-732,744,4.基金项目
四川省博士后特别资助专项基金(2009614)和四川大学青年科学基金(编号2008098)资助 (2009614)