根治性切除成人颅咽管瘤的显微外科技术nbsp附69例分析（医疗卫生论文资料）.docVIP

根治性切除成人颅咽管瘤的显微外科技术nbsp附69例分析（医疗卫生论文资料） 文档信息 ： 文档作为关于“医学心理学”中“外科学”的参考范文，为解决如何写好实用应用文、正确编写文案格式、内容素材摘取等相关工作提供支持。正文7722字，doc格式，可编辑。质优实惠，欢迎下载！ 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：根治性切除成人颅咽管瘤的显微外科技术nbsp附69例分析 2 1 对象与方法 3 2 结 果 4 3 讨 论 4 文2：成人颅咽管瘤的显微外科治疗 7 1 资料与方法 7 2 结果 8 3 讨论 9 参考文摘引言： 11 原创性声明（模板） 12 文章致谢（模板） 12 正文 根治性切除成人颅咽管瘤的显微外科技术nbsp附69例分析（医疗卫生论文资料） 文1：根治性切除成人颅咽管瘤的显微外科技术nbsp附69例分析 Microsurgical techniques of radical excision for craniopharyngioma in adults: report of 69 cases QI Wei， ZHANG Maozhi， ZHANG Wei， et al Department of Neurosurgery， Beijing Tiantan Hospital Affiliated to Capital Univeity of Medical Science， Beijing 100050， China Abstract: Objective To summarize the microsurgical techniques and clinical efficacy of radical excision for craniopharyngioma in adults. Methods Sixty-nine patients with primary craniopharyngioma treated by microsurgical techniques were analyzed retrospectively. The diameter of lesio ranged from cm to cm with an average of cm. Appropriate surgical approaches were selected preoperatively according to tumor properties， sizes and locatio. The relatio of the tumo to the hypothalamic-pituitary， visual pathway and internal carotid artery systems were attentively identified and the tumor was carefully dissected with protection of the perforato. Results Total removal was achieved in 59 patients (%) and subtotal in 10 (%). The postoperative diabetes iipidus occurred in 44 cases (%)， and visual acuity and field-of-view dysfunction in 3. There was no surgical mortality. The mean follow-up was 41 months with no recurrence. Conclusion Radical excision for craniopharyngioma in adults can achieve satisfactory and stable tumor control。 Key words: craniopharyngioma; neurosurgical procedures; diabetes iipidus 我院自2001年1月～2002年12月采用显微神经外科技术根治性切除成人颅咽管瘤69例，报道如下。 1 对象与方法 临床资料 男42例，女27例;年龄18~57岁，平均岁。肿瘤最大径~ cm，平均 cm。 影像学检查 本组术前均行脑CT和MR检查，明确肿瘤部位、大小 (测量最大径)、生长方向、肿瘤质地 (囊、实性)、钙化、与周边结构 (包括视神经、视交叉、视束、颈内动脉及其分支、垂体柄、下丘脑和脑室等)