摘要
目的评估不同人工材料鞍底重建技术在单鼻孔经蝶窦手术中的作用。方法2003年1月至2006年12月应用显微镜下单鼻孔经蝶窦入路手术治疗垂体腺瘤和鞍区病变86例，切除病变后，根据不同情况，选择不同方法封闭鞍底。结果本组86例中35例（41％）选用不同材料重建鞍底。术后3例脑脊液漏，经腰池引流脑脊液治愈，无颅内感染及其他并发症发生。结论单鼻孔经蝶窦入路切除病变后如发生脑脊液漏和（或）骨质广泛破坏，鞍底重建是必要的。不同人工材料的效果及安全性需要长期随访。
Objective To evaluate the roles of different synthetic materials used in the reconstruction of sellar floor in transnaso-sphennoidal surgery. Methods From 2003 to 2006, transnasosphenoidal surgery was performed in 86 patients with pituitary adenomas and other related lesions of sellar region, After removal of the lesions, the packing and/or closure of the sellar floor was performed in diferent ways according to different conditions. Results We decided to repair the sellar floor after removal of lesions in 35 cases（41% ）. The postoperative cerebrospinal fluid leakage was found in 3 cases, which was cured by lumbar drainage. There was no postoperative infection and other complication. Conclusions Reconstruction of sellar floor was considered to be necessary when intraoperative CSF leakage and/or extensive damage of bone structure of sellar floor by invasive lesions are observed during transnaso-sphenoidal surgery. A long term follow-up should be performed to seek the best material with safety and satisfactory effect.
出处
《中华神经外科杂志》
CSCD
北大核心
2008年第8期620-622,共3页
Chinese Journal of Neurosurgery
关键词
鞍底重建
蝶窦
显微外科手术
Sellar reconstruction
Sphenoid sinus
Microsurgery
