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长期以来,认为手术切除是颅咽管瘤较理想的治疗措施。然而,“全部”切除肿瘤会引起严重的神经内分泌并发症,而且手术后易于复发,都是神经外科医生感到棘手的问题。为此,本文根据7例尸检材料的病理学研究与15例经手术广泛切除的临床分析,探讨颅咽管瘤手术切除的可能性,以及影响预后的一些有关问题。根据7例尸检与15例手术所见,发现颅咽管瘤的瘤体可为囊性(10例)、实质性(6例)、及混合型(6例)。肿瘤的容积2～55毫升不等。瘤体较大者(容积大于30毫升),可向第三脑室发展,并可侵及丘脑。组织学检查发现:囊性颅咽管瘤的
For a long time, that surgery is a better treatment of craniopharyngioma. However, “all” resection of the tumor can cause serious neuroendocrine complications and subsequent recurrence after surgery are all neurosurgical problems. Therefore, based on the pathological study of 7 cases of autopsy material and the clinical analysis of 15 cases underwent extensive surgical resection, this article explores the possibility of surgical resection for craniopharyngiomas and some related problems that affect the prognosis. According to 7 autopsies and 15 surgical findings, it was found that the tumor of craniopharyngioma was cystic (10 cases), substantial (6 cases), and mixed (6 cases). Tumor volume 2 to 55 ml range. Larger tumor (volume greater than 30 ml), can be developed to the third ventricle, and can invade the thalamus. Histological examination found: cystic craniopharyngioma