摘要
对１８９例大型垂体瘤分别采用经额底入路、翼点入路和额叶前部纵裂入路进行经颅显微切除术，在显微镜下将肿瘤于被膜外分离切除。对３种手术入路的优缺点进行了比较研究。结果：额叶前部纵裂入路汇集了额底入路和翼点入路的优点，手术切除肿瘤角度好，路径短，鞍区术野暴露充分，解剖清晰全面，便于术者在显微镜下分离和全切除肿瘤组织。
The operations of 189 cases of large and giant pituitary adenoma were performed with transsubfrontal approach,transpterional approach and transanterior-longitudinal-fissure approach respectively.The tumor with its membrane was microsurgically removed through interface of dural matter and tumor's membrane.The advantages and disadvantages of three surgical approaches were compared and studied.Results:anterior longitudinal fissure approach integrated all advantages of subbrontal and pterional approaches.Via this approach the surgical angle was good,access to tumor was short,the surgical field could be adequatly exposed,anatomical structures of sellar region were apt to recognize,and facilitating opreators to separate and remove the tumor.Total removing rate was higher than the others.
出处
《山西医科大学学报》
CAS
1998年第2期165-167,共3页
Journal of Shanxi Medical University
