CAJ | 학술논문

目的探讨前纵裂入路在鞍上脑室内外型颅咽管瘤显微手术切除中的应用,并比较与其他手术入路的优缺点.方法回顾性分析22例采用前纵裂入路显微手术切除鞍上脑室内外型大型颅咽管瘤患者,分析手术技巧及术后效果.结果肿瘤全切20例,次全切除2例,无手术死亡病例.术后发生电解质紊乱15例,尿量增多17例,2-7周后好转,术后1周内视力好转15例.随访6-60个月,肿瘤复发2例,均为12个月内复发.结论前纵裂入路可直视下处理肿瘤在垂体漏斗部位的粘连,是鞍上脑室内外型颅咽管瘤较好的手术入路.
목적 탐토전종렬입로재안상뇌실내외형로인관류현미수술절제중적응용,병비교여기타수술입로적우결점.방법 회고성분석22례채용전종렬입로현미수술절제안상뇌실내외형대형로인관류환자,분석수술기교급술후효과.결과 종류전절20례,차전절제2례,무수술사망병례.술후발생전해질문란15례,뇨량증다17례,2-7주후호전,술후1주내시력호전15례.수방6-60개월,종류복발2례,균위12개월내복발.결론 전종렬입로가직시하처리종류재수체루두부위적점련,시안상뇌실내외형로인관류교호적수술입로.
Objective To explore the usefulness of anterior interhemispheric approach in microsurgical resection of craniopharyngioma located suprasellar and intraventricular area,the merit and demerit of this approach.Methods 22 cases of craniopharyngiomas surgically treated by anterior interhemispheric approach from Jan.2007 to Dec.2011 were retrospectively analyzed.Results Total removal of the lesion were achieved in 20 cases and subtotal removal in 2 cases.None of the patients died during follow -up.All patients received MRI scanning in 24 hours and demonstrated total resection.The electrolyte disturbances were shown in 15 cases,diabetes insipidus in 17 cases and recovery in 2-7 weeks,visual acuity improvement in 15 cases.Follow-up was conducted from 6 to 60 months,and 2 patients were found recurrence.Conclusions The anterior interhemispheric approach provides a safe and minimal invasive method to surgically treat giant craniopharyngioma located in suprasellar and anterior third ventricle.