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目的探讨经额外侧锁孔入路手术在切除鞍区颅咽管瘤中的临床应用价值。方法 20例鞍区颅咽管瘤患者采用额外侧锁孔入路手术治疗分析,分析手术治疗效果。结果 18例患者肿瘤全部切除,2例次全切除,术前15例视力较差患者术后14例视力情况明显改善,1例无明显改善。5例术后尿崩症、电解质紊乱,4例皮下积液,1例垂体功能低下患者经由对症治疗后均好转。结论经额外侧锁孔入路手术治疗鞍区颅咽管瘤同传统手术相比切口小、创伤小,同时减少脑牵拉,利于颅咽管瘤的全切除,具有临床推广价值。
Objective To investigate the clinical value of extra-lateral keyhole approach for the removal of craniopharyngioma in the sellar region. Methods Twenty patients with craniopharyngioma in the sellar region were treated with additional lateral locking technique. The surgical treatment effect was analyzed. Results All the tumors were resected in 18 patients and subtotally resected in 2 patients. The visual acuity of 14 patients with poor visual acuity was significantly improved in 15 patients before operation, and no significant improvement in 1 patient. 5 cases of postoperative diabetes insipidus, electrolyte imbalance, 4 cases of subcutaneous fluid, 1 case of pituitary dysfunction after symptomatic treatment were improved. Conclusions Surgical treatment of craniopharyngioma in the sellar region by extra lateral keyhole approach has the advantages of small incision, less trauma and less brain traction, which is favorable for the total excision of craniopharyngioma and has clinical value of popularization.