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目的比较经胼胝体、透明隔、穹窿间入路和皮质-侧脑室入路手术治疗第三脑室颅咽管瘤的临床疗效。方法将山东省临朐县人民医院60例第三脑室颅咽管瘤患者随机分为两组(A、B组),每组30例,分别经胼胝体、透明隔、穹窿间入路和皮质-侧脑室入路行手术切除肿瘤,比较两组疗效及并发症发生情况。结果两组肿瘤切除率和并发症发生情况间的差异无统计学意义(P>0.05)。结论两种手术入路方式治疗第三脑室颅咽管瘤均具有良好的疗效。
Objective To compare the clinical efficacy of transcallosal, translucent, fornix and cortical-lateral ventricle surgery for craniopharyngioma in the third ventricle. Methods Sixty patients with craniopharyngioma in the third ventricle of Linli County People’s Hospital of Shandong Province were randomly divided into two groups (A, B), 30 cases in each group. The patients were divided into three groups by the corpus callosum, transseptal, fornix approach and cortex- Surgical resection of the brain ventricle tumor, the two groups compared the efficacy and complications. Results There was no significant difference between the two groups in tumor resection rate and complication (P> 0.05). Conclusion Both of the two surgical approaches have a good curative effect on the treatment of craniopharyngioma in the third ventricle.