| 经纵裂经终板入路切除颅咽管瘤：附14例临床分析 |
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| 引用本文： | 李世亭,王旭辉,仲骏,李心远,万亮,杨敏.经纵裂经终板入路切除颅咽管瘤：附14例临床分析[J].中国神经肿瘤杂志,2009,7(1):50-52. |
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| 作者姓名： | 李世亭 王旭辉 仲骏 李心远 万亮 杨敏 |
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| 作者单位： | 上海交通大学医学院附属新华医院神经外科,上海200092 |
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| 摘 要： | 背景与目的：颅咽管瘤位置深在，毗邻重要的结构，手术全切肿瘤往往比较困难。本研究探讨经纵裂经终板入路切除颅咽管瘤的手术技巧。方法：回顾性分析了经纵裂经终板入路切除的14例颅咽管瘤的手术经过与疗效，重点讨论了手术入路技术、肿瘤切除技术和垂体柄的保护技术。结果：肿瘤全切除13例（92．8％），次全切除1例，无手术死亡，术后视力症状（6例）均较术前好转，术后出现的尿量增多与低钠血症持续3—35天，给予垂体后叶素和常效尿崩停（弥凝）均可控制。结论：经纵裂经终板入路是切除颅咽管瘤的有效手术途径。
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| 关 键 词： | 颅咽管瘤 纵裂入路 终板入路 显微外科 |
Removal of Craniopharyngioma via Interhemispheric Trans-lamina Terminalis Approach:Report of 14 Cases |
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| Shi-ting Li,Xu-hui Wang,Jun Zhong,Xin-yuan Li,Liang Wan,Min Yang.Removal of Craniopharyngioma via Interhemispheric Trans-lamina Terminalis Approach:Report of 14 Cases[J].Chinese Journal of Neuro-Oncology,2009,7(1):50-52. |
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| Authors: | Shi-ting Li Xu-hui Wang Jun Zhong Xin-yuan Li Liang Wan Min Yang |
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| Institution: | Shi-ting Li,Xu-hui Wang,Jun Zhong,Xin-yuan Li,Liang Wan,Min Yang Department of Neurosurgery of Xinhua Hospital,Shanghai Jiaotong University,Shanghai 200092,P.R.China |
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| Abstract: | BACKGROUND & OBJECTIVE:The surgical management of craniopharyngioma is difficult because the deep location and the complex neuroanatomy.In this article,we explored the surgical techniques of removal craniopharyngiomas via interhemispheric trans-lamina terminalis approach.METHODS:Operative course and efficacy of 14 patients in whom the tumor were removed via interhemispheric trans-lamina terminalis approach were analyzed retrospectively.RESULTS:Total removal of the tumor was achieved in 13(92.8%)cases and su... |
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| Keywords: | Craniopharyngioma Interhemispheric approach Lamina terminalis approach Microsurgery |
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