首都医科大学附属北京天坛医院神经外科;
颅咽管瘤位于颅底中央的核心区域，生长方式及解剖位置多样，毗邻重要神经、血管、脑干、下丘脑，导致颅咽管瘤的手术治疗一直是神经外科面临的重大挑战。随着内镜颅底外科手术技术、设备、器械的快速进步，以及手术经验的不断积累，内镜经鼻治疗颅咽管瘤的手术技术亦不断提高，从早期切除鞍内型颅咽管瘤，进展到目前可以切除侵袭鞍上、第三脑室的颅咽管瘤；从能够完成成人颅咽管瘤的内镜经鼻切除，进展到可以完成幼儿和儿童颅咽管瘤的内镜经鼻切除。其主要优势是：手术角度符合颅咽管瘤的生长方向，可以抵近观察，无视觉盲区及死角，能够直视下分离肿瘤和周边的重要结构，从而可以减小手术损伤、增加肿瘤全切几率，有效提高颅咽管瘤的手术切除质量。目前，绝大多数幼儿、儿童、成人颅咽管瘤应该首选内镜经鼻手术治疗。
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基本信息:
DOI：
中图分类号:R739.41
引用信息:
[1]桂松柏.颅咽管瘤的内镜经鼻手术治疗[J].中华神经外科疾病研究杂志,2025,19(01):1-4.
基金信息:
首都临床诊疗技术研究及示范应用协同创新重点项目（Z191100006619087）