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目的探讨经幕下小脑上入路(Krause’sapproach)切除松果体瘤的有关并发症。方法总结2个医院近10年来采用经幕下小脑上入路切除松果体肿瘤病例共24例,归纳其术后出现的并发症。结果与手术有关的主要并发症有:颅内积气5例,硬膜下积液3例,Parinaud综合征3例,大脑后动脉损伤1例,术后脑膜脑室炎3例。结论幕下小脑上入路手术的并发症较多,手术过程中对大脑各重要结构的保护是预防并发症的关键。
Objective To investigate the complications related to the removal of pineal tumors through the Krause’s process. Methods A total of 24 cases of pineal tumor resected in the two hospitals in the past 10 years were summarized, and the postoperative complications were summarized. Results The major complications associated with surgery included intracranial pneumonia in 5, subdural effusion in 3, Parinaud’s syndrome in 3, posterior cerebral artery injury in 1, postoperative meningoencephalitis in 3. Conclusions There are many complications of supratentorial cerebellar approach. The protection of important structures of the brain during the operation is the key to prevent complications.