| 显微外科治疗颅咽管瘤59例分析 |
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| 引用本文： | 张磊,李新钢,李刚,徐淑军,王东海,王新宇,赵鹏,李学恩. 显微外科治疗颅咽管瘤59例分析[J]. 山东大学学报(医学版), 2010, 48(7): 122-125 |
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| 作者姓名： | 张磊 李新钢 李刚 徐淑军 王东海 王新宇 赵鹏 李学恩 |
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| 作者单位： | 山东大学齐鲁医院神经外科,济南,250012;山东大学齐鲁医院神经外科,济南,250012;山东大学齐鲁医院神经外科,济南,250012;山东大学齐鲁医院神经外科,济南,250012;山东大学齐鲁医院神经外科,济南,250012;山东大学齐鲁医院神经外科,济南,250012;山东大学齐鲁医院神经外科,济南,250012;山东大学齐鲁医院神经外科,济南,250012 |
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| 基金项目： | 山东省卫生系统杰出学科带头人基金资助项目 |
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| 摘 要： | 目的 探讨颅咽管瘤的显微外科手术入路选择及治疗效果。方法 回顾性分析山东大学齐鲁医院神经外科2006年1月～2009年3月收治的59例颅咽管瘤患者的临床表现、影像学资料、手术入路、肿瘤切除程度以及随访资料。结果 43例全切除,16例次全切除,无手术死亡病例,术后随访5个月～3年,平均2年,3例复发,术后50例患者症状和体征得到不同程度的恢复。结论 显微外科手术治疗颅咽管瘤采取纵裂入路安全有效。
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| 关 键 词： | 颅咽管瘤 显微外科手术 手术入路 纵裂入路 |
| 收稿时间： | 2010-03-03 |
Microsurgical treatment for craniopharyngioma: analysis of 59 cases |
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| ZHANG Lei,LI Xin-gang,LI Gang,XU Shu-jun,WANG Dong-hai,WANG Xin-yu,ZHAO Peng,LI Xue-en. Microsurgical treatment for craniopharyngioma: analysis of 59 cases[J]. Journal of Shandong University:Health Sciences, 2010, 48(7): 122-125 |
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| Authors: | ZHANG Lei LI Xin-gang LI Gang XU Shu-jun WANG Dong-hai WANG Xin-yu ZHAO Peng LI Xue-en |
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| Affiliation: | Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan 250012, China |
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| Abstract: | Objective To explore the operative approach in microsurgical treatment of craniopharyngioma and to evaluate its effects. Methods Clinical manifestations, imaging examinations, surgical approaches, tumor resection extent and follow-up data of 59 cases of craniopharyngioma were retrospectively analyzed. Results 43 cases of tumors were totally removed, and 16 subtotally removed. No patients died. After 5 months to 3 years of follow-up, 3 cases of recurrence were found. The symptoms and signs in the 50 patients were improved in different degrees. Conclusion The interhemispheric approach is more safe and effective for removing craniopharyngioma. |
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| Keywords: | Craniopharyngioma Microsurgery Operative approach Interhemispheric approach |
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