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目的研究颅咽管瘤的显微神经外科手术技巧和临床效果。方法回顾性分析采用显微神经外科技术治疗的28例颅咽管瘤患者的临床资料。结果全切除24例(86%)、近全切除4例(14%)。尿崩症、高热、水电解质平衡失调是颅咽管瘤切除术后较常见的并发症。结论入路的合理选择、显微技术的应用、术中垂体柄的辨认与保护及脑室外引流的应用对提高肿瘤全切除率、降低致残率和病死率有重要的临床意义。
Objective To study the microsurgical surgical techniques and clinical effects of craniopharyngioma. Methods The clinical data of 28 patients with craniopharyngioma treated with microsurgical neurosurgery were retrospectively analyzed. Results Total resection in 24 cases (86%), nearly total resection in 4 cases (14%). Diabetes insipidus, fever, water and electrolyte imbalance is a more common complication after craniopharyngioma resection. Conclusion The reasonable choice of approach, the application of microscopy, the identification and protection of intraoperative pituitary stalk and the application of extracerebral ventricular drainage have important clinical significance in improving the total resection rate, reducing the morbidity and mortality.