CAJ | 학술논문

目的探讨经鼻蝶窦入路切除鞍膈内型颅因管瘤的手术适应证和疗效.方法收集自2005年10月至2010年12月经手术治疗且病理证实的鞍膈内型颅咽管瘤10例,通过随访进行回顾性分析.结果男∶女=3∶7,发病年龄在15～48岁之间,多以视力减退、闭经泌乳和头痛作为首发症状,女性尤以闭经泌乳常见.病变呈囊性或囊实性.2例全切除,8例近全切除.1例发生术后脑脊液鼻漏.10例均得到随访,闭经泌乳、视力下降、尿崩症状改善明显,2例复发.结论经鼻蝶窦入路显微手术治疗鞍膈内型颅咽管瘤以力争全切肿瘤为原则,掌握手术适应证和合理运用显微外科技术可显著改善此类肿瘤患者的预后.
목적 탐토경비접두입로절제안격내형로인관류적수술괄응증화료효.방법 수집자2005년10월지2010년12월경수술치료차병리증실적안격내형로인관류10례,통과수방진행회고성분석.결과 남∶녀=3∶7,발병년령재15～48세지간,다이시력감퇴、폐경비유화두통작위수발증상,녀성우이폐경비유상견.병변정낭성혹낭실성.2례전절제,8례근전절제.1례발생술후뇌척액비루.10례균득도수방,폐경비유、시력하강、뇨붕증상개선명현,2례복발.결론 경비접두입로현미수술치료안격내형로인관류이력쟁전절종류위원칙,장악수술괄응증화합리운용현미외과기술가현저개선차류종류환자적예후.
Objective To investigate the indications and outcomes of microsurgical resection of intradiaphragmatic craniopharyngiomas via transspheroidal approach. Methods Ten cases of of the intradiaphragmatic craniopharyngiomas were treated in our hospital between Otc.2005 and Des.2010.The clinical characteristics and outcome of them were reviewed.Results There were 3 male and 7 female patients.The age of presentation ranged from 15 to 48 years.Visual loss,amenorrhea - galactorrhea,and headaches were the most common clinical symptoms.All of the 10 lesions were given operations.Two lesion was totally removed,and eight lesions were subtotally resected. Postoperative cerebrospinal fluid leakage occurred in one case.All the patients were alive at the latest follow - up.The follow - up data showed that the preoperativc symptoms were relieved postoperatively of different degree.Conclusions The aim of the transsphenoidal surgery for the intradiaphragmatic craniopharyngiomas is to get totally resected.When used the operative dications appropriately and by neurosurgeons with extensive experience in pituitary surgery,the transsphenoidal surgery for the intradiaphragmatic craniopharyngiomas can offer excellent results with minor risks.