摘要
目的研究影响颅咽管瘤手术预后的因素及治疗方法选择。方法回顾性分析84例颅咽管瘤的治疗方式、病理类型及伴发脑积水等与预后的关系。结果次全切除并放疗及全切除者疗效明显优于其它治疗方式，复发病例分别占3／35和2／14，而生存质量优良病例占25／35和9／14。鳞状上皮细胞型的复发比例（2／16）明显低于造釉细胞型（4／16）及混合型（13／52）。伴重度脑积水者疗效最差，复发及死亡病例分别占3／4及1／4。肿瘤体积小及无钙化者预后较好。结论依咽管瘤手术全切及次全切除术后辅以放疗有利于降低肿瘤复发率和改善预后。
To study the factors of prognosis of cranio pharygiomas operated and treadment selection. Methods The relationships among treatment methods, clinicopathololgy and hydrocephalus with prognosis are analysed retrospectively in 84 cases of craniophary giomas operated. Results Subtotal resection add radiotherapy and total resection are better than any others evidently. Their recurrent ratios are 3/35 and 2/14/ respectively. Their good life quality ratios are 25/35 and 9/14 respectively. The recurrent ratio of the squamous craniopheqgiomas (2/16) is lower obviously than those. of adamanitine (4/16) and mixed craniopharygiomas (13/52). The cases with severe hydrocephalus get the worst effective at the recurrent ratio of 3/4 and mortality of 1/4. Small and no-calcifying craniopharygiomas have good prognosis. Conelusions Total resection and subtotal add radiotherapy are favorable to decrease the recurrent ratio and to improve the prognosis.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
1998年第3期136-138,共3页
Chinese Journal of Nervous and Mental Diseases
关键词
颅咽管瘤
外科手术
预后
Craniopharygioma Surgical operation Radiotherapy Prognosis
