摘要
目的探讨额外侧锁孔入路手术治疗鞍区肿瘤的临床应用价值。方法对39例经额外侧锁孔入路显微手术治疗的鞍区肿瘤患者临床资料进行分析,比较该手术方式与常规手术入路的优缺点。结果肿瘤全切除32例,其中垂体瘤11例(73.3%);颅咽管瘤7例(70%);脑膜瘤14(100%)。大部分切除6例,其中垂体瘤3例,颅咽管瘤3例。1例垂体腺瘤因肿瘤包绕颈内动脉并侵及海绵窦行大部分切除。术后18例出现不同程度多尿及电解质紊乱,经药物治疗好转,23例视力较术前好转,所有病例术后恢复良好,无严重神经功能障碍及死亡。结论额外侧锁孔入路可充分显露鞍区结构,具有创伤小,脑组织暴露少、出血少、病人术后恢复快、美观等优点。
Objective To explore the curative effect of microsurgical removal tumors in the sella region via frontolateral keyhole approach.Methods Clinical data of 39 cases of sella region tumors operated by frontolateral keyhole approach and it＇s advantage and disadvantage compared with usual craniotomy operation were described.Results Among 15 cases of pituitary adenomas,the tumor was totally removed in 11 cases（73.3 percent）and subtotally removed in 2 cases and partially removed in 1 cases.Besides 3 cases of craniopharyngioma were subtotal removal,7 cases（70 percent）of craniopharygioma were totally removaed.The tumor of meningiomas were totally removed in all 14 cases（100 percent）.Among 39 cases of sella region tumors,18 cases had different degree of insipidus and electrolyte disturbance,those conditions were improved by the drug treatment,the visual acuity of 23 cases was improved.Good recovery after operation was achieved in 39 cases.Conclusions The frontolateral keyhole approach could provide sufficient operating space in the sella region.The operative treatment of sellar region tumors by frontolateral keyhole approach may be practicable and safe.It＇s advantage is minimal invasive and little blood infusion and rapid recovery and so on.
出处
《国际神经病学神经外科学杂志》
2012年第2期143-145,共3页
Journal of International Neurology and Neurosurgery
关键词
额外侧入路
锁孔入路
鞍区
显微外科
frontolateral approach
keyhole approach
sella regions
microsurgery
