武警医学2017，Vol.28Issue(1)：51-53,3.
颅咽管瘤显微手术治疗及疗效分析
Microsurgical treatment and efficacy of patients with craniopharyngioma
秦至臻 1王建祯 1马振宇 2杜长生 1李钟铭 1封耀辉 1刁劲夫 1邢俭1
作者信息
- 1. 100039北京,武警总医院神经外科
- 2. 100050,首都医科大学附属北京天坛医院神经外科
- 折叠
摘要
Abstract
Objective To explore the therapeutic effect of microsurgical methods on craniopharyngioma.Methods The clinical data of 136 cases of patients with craniopharyngioma treated in our hospital between January 2010 and December 2014 were retrospectively analyzed.Operations were performed under the microscope.The the fronto basal interhemispheric approch was adopted in 42 cases,subfrontal approach in 28 cases,callosal interforniceal approach in 27 cases,pterional approach in 36 cases,and the transsphenoidal approach in 3 cases.Results Total tumor removal was achieved in 118 cases,subtotal renoval in 14 cases,and partial removal in 4 cases.Also,there were 63 cases of postoperative diabetes insipidus (temporary diabetes insipidus in 42 cases),and 28 cases of decreased vision or blindness.Electrolyte disorders occurred in 65 cases.As for other complications,there were 8 cases of central high fever,3 cases of oculomotor nerve injury,1 case of cerebral infarction,2 cases of intracranial infection.And 3 cases of death one month after operation.There were also 3 cases of automatic discharge,who gave up treatment because of the severity of illness or for financial reasons.Conclusions Selection of an appropriate surgical approach based on the location and growth mode of the craniopharyngioma is the key to the success of surgical treatment.关键词
颅咽管瘤/显微外科手术/手术入路Key words
craniopharyngioma/microsurgery/surgical approach分类
医药卫生引用本文复制引用
秦至臻,王建祯,马振宇,杜长生,李钟铭,封耀辉,刁劲夫,邢俭..颅咽管瘤显微手术治疗及疗效分析[J].武警医学,2017,28(1):51-53,3.
