经额底纵裂入路切除颅咽管瘤的临床分析
马鹏举,岳双柱,金保哲,常海刚,高国军,徐翀,周文科
摘要(Abstract):
目的探讨经额底纵裂入路切除颅咽管瘤的手术方法和疗效。方法回顾性分析2008-01-2015-02我院收治的经额底纵裂入路切除的颅咽管瘤临床资料。评价该手术入路及显微操作的优缺点。结果术中肿瘤全切41例;次全切除8例,保留垂柄(完全或部分保留)31例,因肿瘤完全侵蚀垂体柄将其与肿瘤一并切除14例,4例术中为见垂体柄。术后并发症主要为尿崩、电解质紊乱及体温调节紊乱。结论经额底纵裂入路切除鞍上颅咽管瘤具有操作空间大、安全性好、视角佳等优点,可作为切除鞍上颅咽管瘤的有效入路。
关键词(KeyWords): 颅咽管瘤;额底纵裂入路;显微手术
基金项目(Foundation):
作者(Author): 马鹏举,岳双柱,金保哲,常海刚,高国军,徐翀,周文科
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