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颅咽管瘤是鞍区常见的胚胎残余性良性肿瘤,一直是神经外科治疗难点之一。经蝶窦入路切除颅咽管瘤是最早被采用的手术方式之一,但由于手术视野小,脑脊液漏发生率高,对鞍上肿瘤部分切除困难等原因,经蝶窦入路一直被视为一种颅咽管瘤手术切除的补充入路。近年来,随着手术器械的进步,神经内镜、神经导航等新技术的应用,以及扩大经蝶手术方式的发展,经蝶窦手术入路逐渐成为治疗颅咽管瘤的理想手术方式之一。本文就目前采用经蝶窦手术治疗颅咽管瘤的情况做一综述。
Craniopharyngioma is a common remnant benign tumor in the sellar region and has been one of the most difficult neurosurgical treatments. Trans-transsphenoidal approach to remove craniopharyngioma is one of the first surgical methods used, but due to small surgical field of view, high incidence of cerebrospinal fluid leakage, resection of the tumor on the saddle and other reasons difficult to transsphenoidal approach has been As a craniopharyngioma surgical resection of the supplementary approach. In recent years, along with the advancement of surgical instruments, the application of new technologies such as neuroendoscopy and neuronavigation, and the expansion of transsphenoidal surgery, transsphenoidal surgery has gradually become one of the most ideal surgical methods for the treatment of craniopharyngioma . In this paper, the current use of transsphenoidal surgery for the treatment of craniopharyngioma situation is reviewed.