囊性喉瘤的两阶段手术:纯粹的内镜策略和结果
Yoshiki Sato1, Kazuhito Takeuchi2, Yuichi Nagata1
1Department of Neurosurgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, Japan.
Pituitary
|December 21, 2025
概括
两阶段内镜手术有效切除囊性喉瘤. 这种安全的方法在大多数患者中实现了完全的瘤去除,复发率最小,提供了一个有前途的治疗选择.
科学领域:
- 神经外科 神经外科
- 内視鏡外科手術 內視鏡外科手術
- 在瘤学瘤学.
背景情况:
- 囊性膜瘤由于其位置和延伸而对完全切除存在挑战.
- 内镜技术为复杂的脑瘤切除提供了最少的侵入性选择.
研究的目的:
- 评估囊性瘤的两阶段内镜手术策略的疗效和安全性.
- 评估实现完整瘤切除和长期结果的可行性.
主要方法:
- 对11名接受两阶段内镜手术的患者进行了回顾性分析.
- 通过跨腹腔方法进行初始囊化 (CF),然后在1-2个月后进行内透视透视形手术 (eTSS).
- 评估了瘤大小,切除程度,复发以及垂体/下丘脑功能.
主要成果:
- 在11名患者中,有10名患者在22.8个月的中位随访期间实现了完全切除,没有复发.
- 在CF和eTSS之间发生了显著的瘤体积减少 (68.0%),促进了切除.
- 手术前症状在CF后得到改善,没有观察到下丘脑功能障碍.
结论:
- 双阶段内镜手术是一种安全有效的方法,可以完全切除囊性瘤.
- 这种方法可以在短期到中期内成功切除瘤,并且复发率低.
- 阶段性手术有助于切除具有挑战性的瘤组件.
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