《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (07): 410-411.

• 专题 • 上一篇    下一篇

颅咽管瘤切除术中下丘脑损伤的防治

林松1; 张懋植1; 王忠诚2   

  1. 1.首都医科大学附属北京天坛医院神经外科 100050;2.北京市神经外科研究所 100050
  • 收稿日期:2004-05-17 出版日期:2004-07-25 发布日期:2004-07-25

Prevention of hypothalamus injury in surgical management of craniopharyngioma

LIN Song,ZHANG Mao-zhi, WANG Zhong-cheng   

  1. Beijing Tiantan Hospital,Capital University of Medical Sciences, Beijing 100050, China
  • Received:2004-05-17 Published:2004-07-25 Online:2004-07-25

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被引次数

10

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30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35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。

关键词: 颅咽管瘤, 手术切除, 下丘脑损伤

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.

Key words: craniopharyngioma, surgery, hypothalamus injury