[1]王斌,冯春国,徐培坤等.额下-终板入路切除实质性颅咽管瘤10例报告[J].中国微创外科杂志,2012,12(6):559-561.
　Wang Bin,Feng Chunguo,Xu Peikun,et al.Resection of Solid Craniopharyngioma via the Subfrontallamina Terminalis Approach[J].Chinese Journal of Minimally Invasive Surgery,2012,12(6):559-561.
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额下-终板入路切除实质性颅咽管瘤10例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
12
期数:
2012年6期
页码:
559-561
栏目:
短篇论著
出版日期:
2012-06-15

文章信息/Info

Title:
Resection of Solid Craniopharyngioma via the Subfrontallamina Terminalis Approach
作者:
王斌; 冯春国; 徐培坤等
安徽医科大学第一附属医院神经外科，合肥230022
Author(s):
Wang Bin;  Feng Chunguo;  Xu Peikun;  et al.
Department of Neurosurgery, First Affiliated Hospital, Anhui Medical University, Hefei 230022, China
关键词:
颅咽管瘤; 额下-终板入路; 显微手术
Keywords:
Craniopharyngioma; Subfrontallamina terminalis approach; Microsurgery
分类号:
R739.6
文献标志码:
A
摘要:
目的探讨经额下-终板入路切除实质性颅咽管瘤的显微手术技巧及特点。方法2007年3月～2010年3月，对10例实质性颅咽管瘤（伴钙化）由额下-终板入路进行手术切除。瘤体全部位于鞍上，其中向三脑室突入7例，向三脑室及鞍后脚间池突入2例，向鞍内生长1例。最长径2.0～5.4 cm，平均3.3 cm。术中充分开放颅底各池，轻轻牵开额下脑组织暴露终板，切开后显露瘤体。结果全切除7例，次全切除3例。术后6例一过性尿崩，7例甲状腺激素低下，半年内均完全缓解。10例术后随访2个月～2年，平均14个月，其中6例>12个月，未见肿瘤复发或增大。结论经额下-终板入路切除鞍上实质性颅咽管瘤具有操作空间大、安全性高、视角佳等优点。术中充分打开脑底各池、解除牵拉额叶所致的各种张力及保护重要组织结构是手术成功及减少术后并发症的关键。
Abstract:
ObjectiveTo discuss the microsurgical techniques and characteristics of the subfrontallamina terminalis approach for suprasellar solid craniopharyngiomas. MethodsSince March 2007 to March 2010, 10 patients with solid craniopharyngiomas received an operation via the subfrontallamina terminalis approach. All the tumors located in the suprasellar region, seven of them protruded into the third ventricle, two protruded into the both third ventricle and basal cistern, the other one invaded the intrasellar region. The mean longest diameter of the tumor axis was 3.3 cm (ranged from 2.0 to 5.4 cm). To remove the tumor, we carefully exposed the basal cisterns, and then the lamina terminalis.ResultsTotal removal was achieved in 7 cases, and subtotal removal in 3 cases via the subfrontallamina terminalis approach. Six patients developed transient diabetes insipidus and 7 patients had hypothyroidism after the operation, all of them were cured in 6 months. Followup was achieved in ten patients for 2 months to 2 years with a mean of 14 months (>12 months in 6 cases), during which no recurrence or increase in size of the tumor occurred. ConclusionsSubfrontallamina terminalis approach provides a wide surgical field and a better vision for the resection of suprasellar solid craniopharyngiomas, making the procedure safer. To complete the operation successfully and avoid surgical complications, it is crucial to widely open the cisterns, release the tensions on the frontal lobe, and protect brain tissues.

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更新日期/Last Update: 2012-06-15