眉弓入路显微手术治疗颅咽管瘤的临床应用及疗效

doi:10.13418/j.issn.1001-165x.2019.06.018

Abstract

Abstract: Objective To analyze the clinical effect and advantages of microsurgery of eyebrow arch for the treatment of patients with craniopharyngioma. Methods From March 2016 to March 2018, 20 patients with craniopharyngiomas who underwent microsurgical resection of eyebrow arch in our hospital were selected as the observation group; from January 2015 to February 2016, 15 patients with craniopharyngiomas who were treated with traditional coronary intervention in our hospital were selected as the control group. Clinical indicators, the integrity of tumor resection, clinical improvement, and complications were analyzed in both groups. Results The operation time, hospitalization time and length of surgical incision in the observation group were shorter than those in the control group, and the cost of treatment and the numbers of blood transfusion were less than those of the control group, the satisfaction degree of the field exposure was 95.00 %, which was statistically higher than the control group (66.67 %), P＜0.05. There was no statistical difference in the total resection rate of craniopharyngioma between the two groups. After 3 months of follow-up, the clinical manifestations of headache and endocrine symptoms in the observation group were better than those in the control group (P<0.05), while the olfactory disturbance, visual loss, and polyuria symptoms were not statistically different. The complication rate of the observation group was 20.00 %, which was lower than that of the control group (66.67 %), P<0.05. Conclusions The microscopic technique through the eyebrow arch can be used to minimally treat craniopharyngioma, which is worth promoting, because it can obtain a good surgical field of view, less damage to the brain tissue, shorter operation time and shorter hospital stay. The cost of treatment and the number of blood transfusions are also small. The headache and endocrine symptoms are significantly improved. The incidence of complications is low.

Key words: Craniopharyngiomas, Microsurgery of eyebrow arch and keyhole approach, Transfemoral approach, Complication

CLC Number:

R739.41

DENG Zhao-jian, JIANG Qi-jun, GAN Zheng-kai. Clinical application and effect of microsurgery through eyebrow arch for the treatment of craniopharyngioma[J]. Chinese Journal of Clinical Anatomy, 2019, 37(6): 704-707.

References 18

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Clinical application and effect of microsurgery through eyebrow arch for the treatment of craniopharyngioma

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