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颅底肿瘤包括哪些 王拓 西安交通大学第一附属医院 颅底的肿瘤因为颅底从这个范围上讲它分为前颅底中颅底的后颅底,因为从颅底结构上讲是非常复杂的,所有的血管出入颅的部位,所有的神经出入颅的部位都是从颅底进行,所以颅底肿瘤的起源可以从颅骨上来也可以从神经上来也可以从血管上来,所以从种类上讲它是非常多的,但是最常见的颅底肿瘤应该是垂体瘤听神经瘤颅咽管瘤,这些最常见的肿瘤垂体瘤因为影响的部位是一个正常垂体垂体是一个激素分泌后的储藏部,相当于一个仓库所以从垂体瘤上讲往往会影响病人的激素分泌,比如像生长激素腺瘤病人在儿童时候往往是一个巨人症,在成年人是一个指端肥大症手和脚每年都在增大,听神经瘤是一个非常有特征性肿瘤,听神经瘤在别人的早期的表现是一个耳鸣,在听神经瘤发展到一定程度就会引起来病人听力的下降。 What are skull base tumors The tumor of the skull base is divided into the posterior skull base in the middle of the anterior skull base, Because the skull base structure is very complex, All blood vessels enter and exit the cranium, All the nerves go in and out of the skull from the base of the skull, So the origin of skull base tumors can come from the skull, from nerves, from blood vessels, So in terms of category, it is very many, But the most common tumor of the skull base is pituitary tumor, acoustic neuroma, craniopharyngioma, These are the most common tumors of the pituitary gland because they affect a normal pituitary gland, which is a store of hormones, It's like a warehouse, so pituitary tumors often affect the hormone secretion of patients, For example, patients with growth hormone adenomas are often giant in childhood, In adults it's a hypertrophy of the fingertips. The hands and feet grow every year, Acoustic neuroma is a very characteristic tumor, The early manifestation of acoustic neuroma in others is a tinnitus, When the acoustic neuroma develops to a certain extent, it will cause the hearing loss of the patient.