CAJ | 학술논문

目的探讨大型颅咽管瘤与第三脑室的关系在肿瘤切除手术中的意义. 方法南方医科大学南方医院神经外科白1997年1月至2003年1月共采用手术治疗大型颅咽管瘤患者72例.根据肿瘤的影像学表现及手术所见对其进行分类,每一类肿瘤根据大小及其与第三腩室底的关系分为3级,根据术中判断和术后CT和(或)MPd增强扫描结果确定颅咽管瘤手术切除程度,分析肿瘤分级与手术切除程度的关系. 结果颅咽管瘤总体上可以分为第三脑室内型(本组7例)和第三脑室累及型(本组65例)两大类;手术切除程度在不同分级肿瘤间总体分布位置不同,差异有统计学意义(P<0.05). 结论明确大型颅咽管瘤与第三脑室底及下丘腩结构间的关系对提高大型颅咽管瘤手术疗效有重要意义.
목적 탐토대형로인관류여제삼뇌실적관계재종류절제수술중적의의. 방법 남방의과대학남방의원신경외과백1997년1월지2003년1월공채용수술치료대형로인관류환자72례.근거종류적영상학표현급수술소견대기진행분류,매일류종류근거대소급기여제삼남실저적관계분위3급,근거술중판단화술후CT화(혹)MPd증강소묘결과학정로인관류수술절제정도,분석종류분급여수술절제정도적관계. 결과로인관류총체상가이분위제삼뇌실내형(본조7례)화제삼뇌실루급형(본조65례)량대류;수술절제정도재불동분급종류간총체분포위치불동,차이유통계학의의(P<0.05). 결론 명학대형로인관류여제삼뇌실저급하구남결구간적관계대제고대형로인관류수술료효유중요의의.
Objective To assess the impact of the positional relationship between the large craniopharyngiomas and the third ventricle on the outcome of surgical resection of the tumors. Methods In 72 cases of craniopharyngiomas, the tumors were classified into two types according to the radiographic and surgical findings defining the relationship between the tumors and the third ventricle. For each type of tumors, 3 grades were classified based on the tumor size, texture, and infiltration pattern of the third ventricle. The extend of tumor removal was confirmed by both intraoperative evaluation and postoperative CT or magnetic resonance imaging. The correlation between the degree of hypothalamus invasion and the extend of tumor removal was analyzed in all the cases. Results The craniopharyngiomas were classified into two types, namely those residing in the third ventricle (7 cases) and those invading the third ventricle(65 cases). The degree of tumor resection was significantly different between the 3 grades: total tumor removal was achieved in 95.7% of grade Ⅰ cases, in 80.0% of grade Ⅱ cases, and in only 47.4% of grade Ⅲ I cases (P<0.05). conclusion Understanding of the anatomical relationship of the tumor to the third ventricular floor can be great value for improving the outcome of surgical resection of large craniopharyngiomas.