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目的探讨经胼胝体-穹窿间入路显微切除颅咽管瘤的临床效果。方法经胼胝体-穹窿间入路切除颅咽管瘤21例。结果在手术显微镜下全切除10例,近全切除8例,大部分切除3例,无死亡病例。结论应用显微外科技术该入路可以切除第三脑室内颅咽管瘤,术野显露清楚,不易造成穹窿、丘脑、大脑内静脉、丘纹静脉的损伤,减少了术后并发症的发生。
Objective To investigate the clinical effect of microsurgical removal of craniopharyngioma via the corpus callosum - vault. Methods Twenty - one cases of craniopharyngiomas were resected through the corpus callosum - vault. Results In the surgical microscope 10 cases of total resection, nearly 8 cases of resection, the majority of resection in 3 cases, no deaths. Conclusion The microsurgical technique can remove the third intracranial craniopharyngioma with microsurgical technique. The operative field is clear and not easy to cause the damage of vault, thalamus, intracerebral vein and mound vein and reduce the incidence of postoperative complications.