| 56例儿童颅咽管瘤的显微手术治疗及随访 |
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| 引用本文： | 曲圣涛,魏翔泰,陈铎,关俊宏,刘云会.56例儿童颅咽管瘤的显微手术治疗及随访[J].现代肿瘤医学,2011,19(10):1956-1958. |
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| 作者姓名： | 曲圣涛 魏翔泰 陈铎 关俊宏 刘云会 |
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| 作者单位： | 中国医科大学附属盛京医院神经外科,辽宁,沈阳,110004 |
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| 摘 要： | 目的:探讨儿童颅咽管瘤显微手术方法,术后并发症的防治及复发的因素。方法:回顾性分析我院2000年1月至2010年12月儿童颅咽管瘤手术病例56例。分别采用经翼点入路28例(50%)、经额下入路14例(25%)、经前额纵裂入路6例(10.7%),经胼胝体-透明隔间腔-穹隆间入路5例(8.9%),皮层造瘘入路3例(5.3%)。结果:全切除+次全切除38例(67.9%)、大部切除17例(30.4%),围手术期死亡1例(1.7%)。术后并发症主要为尿崩症、血电解质紊乱及癫痫。结论:恰当地选择手术入路、术中娴熟的显微神经外科操作、术后积极防治并发症,是影响颅咽管瘤复发及预后的关键因素。
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| 关 键 词： | 儿童 颅咽管瘤 显微手术 随访 |
Microsurgical treatment and follow-up of 56 cases pediatric 56 craniopharyngiomas |
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| QU Shengtao,Wei Xiangtai,Chen Duo,Guan Junhong,Liu Yunhui.Microsurgical treatment and follow-up of 56 cases pediatric 56 craniopharyngiomas[J].Journal of Modern Oncology,2011,19(10):1956-1958. |
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| Authors: | QU Shengtao Wei Xiangtai Chen Duo Guan Junhong Liu Yunhui |
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| Affiliation: | QU Shengtao,Wei Xiangtai,Chen Duo,Guan Junhong,Liu Yunhui Department of Neurosurgery,the Shengjing Hospital Affiliated to China Medical University,Shenyang 110004,China. |
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| Abstract: | Objective:To explore the microsurgical methods for treating craniopharyngiomas,the prevention of complications and the factors influencing recurrence.Methods: From January 2000 to December 2010,56 cases of pediatric craniopharyngioma undertook microsurgery.Five different approaches were used,including the pterional approach in 28 cases(50%),the subfrontal approach in 14 cases(25%),the transfrontal longitudinal fission approach in 6 cases(10.7%),the transcallosum interfornix approach in 5 cases(8.9%),and tra... |
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| Keywords: | child craniopharyngioma microsurgery follow-up |
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