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Transsphenoidal microsurgical removal of 11 patients with craniopharyngiomas in childhood and adolescence
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- Author:
- No author available
- Journal Title:
- JOURNAL OF THE FOURTH MILITARY MEDICAL UNIVERSITY
- Issue:
- 10
- DOI:
- 10.3321/j.issn:1000-2790.1999.10.015
- Key Word:
- 颅咽管瘤;经蝶手术;显微外科;儿童;青春期
Abstract： 目的: 评价儿童及青春期颅咽管瘤经蝶显微手术切除效果,寻找本病手术治疗的最佳方式. 方法: 回顾性总结11例颅咽管瘤的诊断措施、手术技巧和治疗结果. 本组均经CT或MRI扫描确诊. 手术采取经唇下-鼻中隔-蝶窦入路或经鼻前庭-鼻中隔-蝶窦入路行肿瘤切除术. 结果: 6例肿瘤获全切除,3例次全切除,余2例为部分切除,术后无死亡. 8例获长期随访(平均2.6 a),有6例恢复良好,2例影像学检查提示肿瘤复发,需行再次手术治疗. 结论: 对儿童及青春期颅咽管瘤选择合适病例经蝶入路显微手术切除,是一种安全、有效的方法.
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