中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2008年
5期
334-336
,共3页
肖顺武%黄光富%王振宇%刘卫东%陈勇%陈隆益%冯海龙%廖晓灵%李自立%谭海兵
肖順武%黃光富%王振宇%劉衛東%陳勇%陳隆益%馮海龍%廖曉靈%李自立%譚海兵
초순무%황광부%왕진우%류위동%진용%진륭익%풍해룡%료효령%리자립%담해병
颅咽管瘤%肿瘤复发%显微外科手术
顱嚥管瘤%腫瘤複髮%顯微外科手術
로인관류%종류복발%현미외과수술
Craniopharyngioma%Neoplasm recurrence,local%Microsurgery
目的 探讨复发性颅咽管瘤的手术治疗方法和技巧.方法 回顾性分析15例复发性颅咽瘤患者的临床资料.其中男10例,女5例;年龄10～56岁.手术采用原切口入路13例(翼点入路10例,额下入路3例),经纵裂胼胝体入路1例,联合入路1例.结果 肿瘤全切除9例,近全切除5例,大部切除1例.术中垂体柄保留6例,断离4例,未见垂体柄5例;术后大多数患者的视力改善,单眼失明1例;尿崩12例,电解质紊乱7例;垂体功能低下6例;癫痫3例;无死亡.结论 复发性颅咽管瘤与其周围结构关系紊乱、粘连重或钙化,但手术切除仍然是可行的治疗方法.
目的 探討複髮性顱嚥管瘤的手術治療方法和技巧.方法 迴顧性分析15例複髮性顱嚥瘤患者的臨床資料.其中男10例,女5例;年齡10～56歲.手術採用原切口入路13例(翼點入路10例,額下入路3例),經縱裂胼胝體入路1例,聯閤入路1例.結果 腫瘤全切除9例,近全切除5例,大部切除1例.術中垂體柄保留6例,斷離4例,未見垂體柄5例;術後大多數患者的視力改善,單眼失明1例;尿崩12例,電解質紊亂7例;垂體功能低下6例;癲癇3例;無死亡.結論 複髮性顱嚥管瘤與其週圍結構關繫紊亂、粘連重或鈣化,但手術切除仍然是可行的治療方法.
목적 탐토복발성로인관류적수술치료방법화기교.방법 회고성분석15례복발성로인류환자적림상자료.기중남10례,녀5례;년령10～56세.수술채용원절구입로13례(익점입로10례,액하입로3례),경종렬변지체입로1례,연합입로1례.결과 종류전절제9례,근전절제5례,대부절제1례.술중수체병보류6례,단리4례,미견수체병5례;술후대다수환자적시력개선,단안실명1례;뇨붕12례,전해질문란7례;수체공능저하6례;전간3례;무사망.결론 복발성로인관류여기주위결구관계문란、점련중혹개화,단수술절제잉연시가행적치료방법.
Objective To study the effective methods and skills of microsurgical resection for recurrent craniopharyngiomas.Method From 2001 to 2006,microsurgical resection was performed in 15 cases with the recurrent craniopharyngiomas composed of 10 men and 5 women,whose age ranged from 10 to 56 years old(mean age 32.3 years).The prior surgical approach was employed in 1 3 cases(10 cases with pterional approach and 3 cases with subfrontal approach)and transcallosal interfornical approach in 1 case and the combined approach in 1 case.respectively.Results Total removal of the tumors were completed in 9 cases,subtotal removal in 5 cases,and partial removal in 1 case.The pituitary stalk was preserved in 6 cases,severed in 4 cases and not identified in 5 cases during surgery.In most cases,visual function was preserved or improved,1 case became blind,12 patients experienced diabetes insipidus and 7 cases occurred electrolyte disturbances,6 patients had the hypothalamic hypofunction after surgery,and 3 cases suffered epilepsy,no death occurred.Conclusions Surgery can still be a major therapeutic option in the management of recurrent craniopharyngiomas,although the reoperation of the tunlors was performed very difficultly owing to the tumor adhesion to the surrounding hypothalamic structures.
