首都医科大学学报 ›› 2002, Vol. 23 ›› Issue (2): 119-121.

• 临床研究 • 上一篇    下一篇

改良小翼点入路治疗颅咽管瘤

齐巍, 张懋植, 赵继宗, 王磊, 王嵘   

  1. 首都医科大学附属北京天坛医院神经外科
  • 收稿日期:2002-01-11 修回日期:1900-01-01 出版日期:2002-04-15 发布日期:2002-04-15

Treatment of Craniopharyngiomas by Modified Pterional Approach

Qi Wei, Zhang Maozhi, Zhao Jizong, Wang Lei, Wang Rong   

  1. Department of Neurosurgery, Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences
  • Received:2002-01-11 Revised:1900-01-01 Online:2002-04-15 Published:2002-04-15

摘要: 为探讨改良小翼点入路治疗颅咽管瘤的效果和意义,采用改良入路治疗20例颅咽管瘤患者,并与同期经标准翼点入路(筋膜间入路)切除的18例颅咽管瘤病例进行对照。结果显示,2种手术入路肿瘤切除程度与术后并发症的发生率无显着性差异,而改良入路手术创伤小、美容效果好、平均住院日缩短,符合“微创”手术治疗的原则,是治疗颅咽管瘤等鞍区病变的可行的微创手术方法。

关键词: 微创, 手术入路, 颅咽管瘤

Abstract: To evaluate the results and significance of a modified pterional approach, 20 patients with craniopharyngiomas were operated by using this approach. The surgical results were analyzed prospectively and compared with the standard pterional approach. It showed that no significant difference in the tumor resection degree and main complications between two approaches(P>0.05). But patients treated by the modifed approach had less operative trauma, achieved better out-looking and had shorter hospitalization(P<0.05). The modified approach is a safe and convenient minimal-invasive approach in the treatment of lesions of the sellar region such as craniopharyngiomas.

Key words: minimal-invasive|surgical approach|craniopharyngiomas

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