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翼点入路显微手术切除鞍区颅咽管瘤15例
引用本文:刘永良,李建民,赵学林,隋德华,李勐,徐军.翼点入路显微手术切除鞍区颅咽管瘤15例[J].滨州医学院学报,2004,27(5):334-335.
作者姓名:刘永良  李建民  赵学林  隋德华  李勐  徐军
作者单位:滨州医学院附属医院神经外科,滨州市,256603;滨州医学院附属医院神经外科,滨州市,256603;滨州医学院附属医院神经外科,滨州市,256603;滨州医学院附属医院神经外科,滨州市,256603;滨州医学院附属医院神经外科,滨州市,256603;滨州医学院附属医院神经外科,滨州市,256603
摘    要:目的:探讨显微手术切除鞍区颅咽管瘤的有效方法及术后并发症的预防.方法:回顾性分析15例鞍区颅咽管瘤病人,均行翼点入路显微手术切除肿瘤.结果:8例达到肿瘤全切除,4例近全切,3例部分切除.术中垂体柄保留5例,术中断裂1例,术中未见垂体柄9例.结论:经翼点入路是切除鞍区颅咽管瘤的有效方法,利用显微外科技术,保护下丘脑结构和功能,对降低术后并发症起重要作用.

关 键 词:颅咽管瘤  显微外科手术  翼点入路
文章编号:1001-9510(2004)05-0334-02
修稿时间:2004年4月21日

MICROSURGICAL RESECTION OF CRANIOPHARYNGIOMA IN SELLAR REGION WITH PTERION APPROACH
LIU Yongliang,LI Jianmin,ZHAO Xuelin,et al.MICROSURGICAL RESECTION OF CRANIOPHARYNGIOMA IN SELLAR REGION WITH PTERION APPROACH[J].Journal of Binzhou Medical College,2004,27(5):334-335.
Authors:LIU Yongliang  LI Jianmin  ZHAO Xuelin  
Abstract:Objective:To explore effective methods for microsurgical treatment of craniopharyngioma in sellar region and for prevention of postoperative complications Methods:We retrospectively analyzed 15 patients with craniopharyngioma in sellar region,in whom pterion approach was used Results:Total removal was achieved in 8 patients,subtotal in 4,and partial in 3 Pituitary stalk was reserved in 5 patients,cut off in 1 and not seen in 9 Conclusion:Pterion approach is an effective means for successful removal of craniopharyngiomas in sellar region To apply microsurgery technique and prevent the structure and function of hypothalamus from damaging is important for decreasing postoperative complications
Keywords:craniopharyngioma  microsurgery  pterion approach
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