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颅咽管瘤开颅术后发生硬膜下积液的危险因素分析
作者: 曹健 黄正松 杨李轩 陈昆 林佳平
单位:中山大学第一附属医院神经外科,广州,510080
关键词: 颅咽管瘤 术后硬膜下秘液 年龄 釉质细胞型
分类号:
出版年·卷·期(页码):2009·35·第 10 期(0-0)
摘要:
目的 探讨颅咽管瘤开颅术后发生硬膜下积液的危险因索及其治疗方法.方法 回顾78例颅咽管瘤患者开颅手术后硬膜下积液发生、临床表现及治疗情况,并对硬膜下积液可能的发生原因进行单因素及多因素分析.结果 颅咽管瘤术后硬膜下积液的发生与年龄、肿瘤大小,病理类型有关;43例术后硬膜下积液患者,36例保守治疗积液吸收,7例因积液进行性发展予以手术治疗后吸收.结论 硬膜下积液是颅咽管瘤开颅术后常见并发症,倾向发生于儿童、≥4 cm和釉质细胞型肿瘤的病例中.大多数通过内科治疗能够吸收,少数进行性发展的病例需手术治疗.
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