摘要
目的 探讨颅咽管瘤对下丘脑结构的侵袭方式及其临床意义。方法 对 3 3例大型 (最大径 >3cm)颅咽管瘤MRI影像学资料、手术所见及术后病理进行分析。结果 肿瘤囊壁与下丘脑结构的关系可总结为毗邻关系 ( 4例 )、粘连关系 ( 17例 )、浸润性生长关系 ( 12例 ) ,MRI影像学表现可以为分型提供帮助。结论 根据肿瘤对下丘脑结构不同侵袭方式选择合适的手术技巧是提高手术疗效的关键。
Objective To evaluate the significance of tumor infiltrative behaviors of craniopharyngiomas to hypothalamus. Methods The imaging features, intraoperative findings, and pathologic results of 33 patients underwent surgery for craniopharyngiomas were reviewed. Results Tumor infiltrative patterns to hypothalamus were classfied as adjoining,adhering and infiltrative growth pattern according to their pathologic and intraoperative findings. MRI scan was helpful in determing the growth pattern of tumors. Conclusion Adopting proper operative techniques according to tumor infiltrative pattern is the key point to improve surgical outcomes of craniopharyngiomas.
出处
《广东医学》
CAS
CSCD
2003年第12期1275-1277,共3页
Guangdong Medical Journal
