下丘脑显微外科手术，特别涉及颅咽管瘤

Microsurgery of the hypothalamus with special reference to craniopharyngioma.

作者信息

Symon L

出版信息

Neurosurg Rev. 1983;6(2):43-9. doi: 10.1007/BF01743032.

Abstract

After a short survey of microanatomy, microtopography, neurophysiology and neuropathophysiology of the hypothalamus the surgical approaches to the hypothalamus with special reference to the craniopharyngiomas are described in detail. Based on 100 personal cases (1954-1979) the special procedure, depending on the site and extent of the tumour and its involvement of the hypothalamus, is discussed. Primary radical excision (19 cases) with a mortality rate of 10.5% seems to be the method of choice, as late mortality recurrences and secondary operations are frequent after non-radical procedures. Modern microsurgical technique promises to achieve primary radical excision more frequently and with less risk.

摘要

在对下丘脑的显微解剖、微观形态、神经生理学和神经病理生理学进行简短概述之后，详细描述了针对下丘脑的手术入路，尤其提及颅咽管瘤。基于100例个人病例（1954 - 1979年），讨论了根据肿瘤的部位和范围及其对下丘脑的累及情况所采用的特殊手术方法。原发性根治性切除（19例），死亡率为10.5%，似乎是首选方法，因为非根治性手术后晚期死亡率、复发和二次手术很常见。现代显微外科技术有望更频繁且风险更低地实现原发性根治性切除。