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目的评价１９８２年１月～１９９９年６月收治的２５例小儿颅咽管瘤（ｐａｅｄｉａｔｒｉｃｃｒａｎｉｏｐｈａｒｙｎｇｉｏｍａ，ＰＣＰ）采用经蝶入路肿瘤切除术的效果。方法回顾性总结 ２５例 ＰＣＰ的诊断方法，手术技巧和治疗结果。本组均经ＣＦ或ＭＲＩ扫描确诊。经蝶入路行肿瘤切除术。结果５２．０％（１３例）肿瘤全切除；３２ ０％（８例）次全切除；１６．０％（４例）部分切除。肿瘤未能完全切除的原因是瘤体与下丘脑及血管的粘附较紧，或为较大的钙化。术后无死亡。２０例获长期随访（平均３．６年），其中１７例（８５． ０％）恢复良好，３例（１５．０％）肿瘤复发，需再次手术治疗。结论对ＰＣＰ采用ＣＴ或ＭＲＩ进行诊断并选择合适病例经蝶入路显微手术切除，是一种安全、有效的方法。
Objective To evaluate the efficacy of tumor resection in 25 children with pediatric craniopharyngioma (PCP) admitted from January 1982 to June 1999. Methods A retrospective review of 25 cases of PCP diagnostic methods, surgical techniques and treatment results. This group are confirmed by CF or MRI scan. Tumor resection for transsphenoidal approach. Results 52.0% (13 cases) of total resection tumors; 32 0% (8 cases) subtotal resection; 16.0% (4 cases) partial resection. The reason that the tumor can not be completely removed is that the tumor has a tight adhesion to the hypothalamus and blood vessels or is a large calcification. No death after surgery. Twenty patients were followed up for a long period of time (mean, 3.6 years). Seventeen (85.0%) patients recovered well and three (15.0%) patients relapsed. Surgical treatment was required again. Conclusion It is a safe and effective method to diagnose PCP using CT or MRI and select microsurgical resection of transsphenoidal approach.