摘要
目的:总结经翼点入路显微手术治疗垂体瘤的方法,以达到既减少术中血管损伤又能全切除肿瘤。方法:在手术显微镜下经翼点入路鞍区四个解剖间隙切除垂体瘤44例,术中注意保护肿瘤周围的视神经、ICA及发出的垂体上动脉。结果:44例垂体瘤,全切除42例,占95.5%,死亡2例,占4.5%,复发4例,占9%。结论:在经翼点入路行垂体瘤的显微手术中,熟练掌握鞍区四个解剖间隙及垂体血供的显微解剖,是提高全切率,降低显微外科手术死亡及复发率的关键。
Objective： To summarize the methods of microsurgical removal of pituitary adenoma via transpterional approach . Methods： Under the operative microscope,the pituitary adenoma in the 44 patients were resected through the 4 anatomical spaces via transpterional approaches, Attenion was paid to protecting the important structures including the optic never and ICA,and superior hypophyseal arteries. Results： Complete tumor removal was achieved in 42 （95.5 %）. The mortality was 4. 5% （2） and tumor recurrence rate was 9% （4）. Conelusion; In dealing with pituitary adenoma, a full understanding of the anatomy of the anatomy of the sellar region including hypophyseal 4 anatomic spaces and hypophyseal blood supply is of key importance for a neurosurgeon to obtain a higher tumor resecting rate and low mortality rate.
出处
《陕西医学杂志》
CAS
北大核心
2005年第9期1058-1059,共2页
Shaanxi Medical Journal
