经胼胝体-透明隔-穹窿间入路切除三脑室内颅咽管瘤

Transcallosal-septum pellucidum -interforniceal approach for resection of craniopharyngiomas in the third ventricle

摘要:

目的：探讨经胼胝体-透明隔-穹窿间入路切除三脑室内颅咽管瘤的疗效和并发症。方法：回顾性分析28例经胼胝体-透明隔-穹窿间入路切除的三脑室内颅咽管瘤患者的病例资料。结果：肿瘤全切18例，次全切6例，部分切除4例。术后主要并发症为电解质紊乱、尿崩症、内分泌功能紊乱、缄默、体温调节障碍、癫痫等。结论：经胼胝体-透明隔-穹窿间入路为切除三脑室内颅咽管瘤最佳入路之一；颅咽管瘤术后并发症多且严重，充分的术前准备及良好的围手术管理是手术成功的前提。

Abstract:

Objective：To investigate the curative effect and postoperative complications of the third ventricle craniopharyngioma re－moved by transcallosal-stptum pellucidum-interforniceal approach. Methods：Clinical data of 28 patients with the third ventrile cran－iopharyngioma undergoing transcallosal-septum pellucidum-interforniceal approach resection were analyzed retrospectively. Results：Total tumor removal was achieved in 18 cases，subtotal removal in 6 cases and partial removal in 4 cases. Electrolyte disorder and diabetes insipidus were observed in most of the cases.Other frequent complications included endocrine disorders，mutism，hyperpyrexia and seizures. Conclusions：Transcallosal-septum pellucidum-interforniceal approach is the best choice for the resection of the third ventricle craniopharyngioma. Postoperative complication is common and serious，sufficient preoperative preparation and good periop－erative management is the premise of the successful operation.