| 颅咽管瘤切除术中下丘脑损伤的防治 |
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| 引用本文： | 林松,张懋植,王忠诚.颅咽管瘤切除术中下丘脑损伤的防治[J].中国康复理论与实践,2004,10(7):410-411. |
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| 作者姓名： | 林松 张懋植 王忠诚 |
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| 作者单位： | 1. 100050,首都医科大学附属北京天坛医院神经外科
2. 100050,北京市神经外科研究所 |
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| 摘 要： | 目的探讨颅咽管瘤手术中避免下丘脑损伤的的方法。方法对 40例经手术治疗的颅咽管瘤患者进行回顾性分析。结果 3 0例患者翼点入路 ,8例患者胼胝体穹隆间入路 ,2例经额底入路。全切除 3 5例 ,近全切除 5例。术后并发硬膜外血肿死亡 1例。无病例死于下丘脑损伤。结论选择恰当的手术入路、严格沿肿瘤分离、辨认垂体柄和下丘脑结构以及保留穿通动脉是避免颅咽管瘤下丘脑损伤的关键。
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| 关 键 词： | 颅咽管瘤 手术切除 下丘脑损伤 |
| 文章编号： | 1006-9771(2004)07-0410-02 |
| 修稿时间： | 2004年5月17日 |
Prevention of hypothalamus injury in surgical management of craniopharyngioma |
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| LIN Song,ZHANG Mao zhi,WANG Zhong cheng.Prevention of hypothalamus injury in surgical management of craniopharyngioma[J].Chinese Journal of Rehabilitation Theory and Practice,2004,10(7):410-411. |
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| Authors: | LIN Song ZHANG Mao zhi WANG Zhong cheng |
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| Institution: | LIN Song,ZHANG Mao zhi,WANG Zhong cheng. Beijing Tiantan Hospital,Capital University of Medical Sciences,Beijing 100050,China |
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| Abstract: | Objective To study the better way of avoidance of hypothalamus injury in surgical management of craniopharyngioma.Methods 40 cases with craniopharyngioma accepted surgery treatment were analyzed respectively.Results The pterional approach was performed in 30 cases, interfornical approach in 8 cases,subfrontal approach in 2 cases.Total removal of tumor was achieved in 35 cases,subtotal removal in 5 cases.One died from extradural hematoma after operation. No one died from hypothalamus injury. Conclusion Some way was key to avoid hypothalamus injury and to achieve a better surgical result, such as proper approach, separating strictly along tumor, identification of pituitary stalk and hypothalamus structure,preservation of perforating arteries to hypothalamus. |
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| Keywords: | craniopharyngioma surgery hypothalamus injury |
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