基于QST分型的颅咽管瘤术后围手术期并发症分析

Analysis of Perioperative Complications after Craniopharangioma Based on QST Typing

摘要: 目的：探讨QST分型对颅咽管瘤手术入路的指导作用。方法：回顾分析2016年10月至2021年5月神经外科手术治疗的37例原发性颅咽管瘤患儿的临床、影像学及手术资料，术前通过影像资料按照QST分型将其分型，分型后进行手术入路的选择，统计术后并发症的发生率。结果：37例中Q型13例(35.1%)，S型7例(18.9%)，T型17例(45.9%)。术后尿崩30例(发生率81.1%)；高钠17例(发生率45.9%)；低钠20例(发生率54.1%)；垂体功能减退29例(78.4%)。计数资料采用例数和百分率表示，组间比较采用卡方检验。P < 0.05，符合统计学意义。结论：QST分型有助于预测儿童颅咽管瘤术后并发症的发生及其严重程度，对手术入路的选择也具有指导意义。

Abstract: Objective: To investigate the guiding effect of QST typing on the surgical approach of craniopharangioma. Methods: The clinical, imaging and surgical data of 37 children with primary craniopharyngioma treated from October 2016 to May 2021 were reviewed and analyzed. The imaging data were typed according to QST, surgical entry selection was performed and the incidence of postoperative complications was counted. Results: In the 37 patients, there are 13 Q (35.1%), 7 S (18.9%) and 17 T (45.9%). After surgery, 30 urinary avalanche (81.1%) had 17 high sodium (45.9%), 20 low sodium (54.1%) and 29 hypoppituitary function (78.4%). Counting data are represented by examples and percentage, and by a chi-square test for inter-group comparisons. P < 0.05, in accordance with statistical significance. Conclusion: QST typing can predict the severity of complications and provide guidance for the choice of surgical approach.