神经内镜扩大经鼻_垂体移位切除三_省略_池巨大皮样囊肿1例术后并发症分析.pdf

目 录 中文摘要1 英文摘要2 论文正文：神经内镜扩大经鼻-垂体移位切除三脑室-脚间池巨大皮样囊肿1例术后 并发症分析4 前 言4 1 材料与方法4 2 手术结果6 3 讨论7 全文总结13 参考文献14 文献综述：神经内镜扩大经鼻-硬膜下垂体移位术式的应用现状 18 致 谢30 攻读硕士学位期间发表的学术论文目录31 重庆医科大学硕士研究生学位论文 神经内镜扩大经鼻-垂体移位切除三脑室-脚间池巨大 皮样囊肿1例术后并发症分析 摘 要 目的：探讨神经内镜扩大经鼻垂体移位切除三脑室脚间池巨大皮- - 样囊肿的疗效及并发症。 方法：回顾分析１例接受神经内镜下扩大经鼻垂体移位切除三脑 室脚间池巨大皮样囊肿的女性患者的临床资料和手术效果及并发症，- 结合传统开颅手术及神经内镜下垂体移位切除中线区肿瘤的相关文 献，对手术结果及相关并发症进行分析。 结果：应用神经内镜扩大经鼻垂体移位完整切除了三脑室脚间池- 巨大皮样囊肿，术后患者出现了短暂的尿崩及颅内感染，完全恢复健 康，无永久性尿崩及永久性垂体功能减退。 结论：神经内镜扩大经鼻蝶垂体移位切除三脑室脚间池皮样囊肿，- 无需牵拉重要脑组织及血管，手术创伤小，并发症可控，是一种有效 的手术方法。 关键词：颅内皮样囊肿，脚间池，神经内镜，垂体移位，并发症 1 重庆医科大学硕士研究生学位论文 THEANALYSISOFPOSTOPERATIVE COMPLICATIONS OFAGIANTDERMOID CYSTIN THIRDVENTRICLE AND INTERPEDUNCULAR CISTERN BYEXTENDED ENDOSCOPICENDONASALAPPROACHVIA PITUITARYTRANSPOSITION ABSTRACT Objective:To study the treatment effect and postoperative complications of resection of intracranial giant dermoid cyst between the third ventricle and interpeduncular cistern by extended endoscopic endonas-alpituitarytransposition. Methods:The clinical data,surgical effect andpostoperative complica- tions of a female patient whose dermoid cyst between the third ventricle andinterpeduncular cisternwasresectedby extended endoscopic endonasal pituitary transposition were analyzed retrospectively.To review the literature of traditional craniotomy and extended endoscopic endonasal pituitary transposition for the resection of midline tumors. Results:The giant dermoid cyst between the third ventricle and interpeduncular cistern was completely resected by extended endoscopic endonasal pituitary transposition.After the surgery,the patient h