摘要
目的 探讨一种改良双侧额下入路切除巨大鞍区肿瘤的可行性。方法 分别采用超低双侧额下入路(超低组)及传统单侧额下入路(传统组)切除巨大鞍区肿瘤40例,将手术疗效及并发症发生情况进行对比分析。结果 超低组大型肿瘤(2cm≤直径<4cm)10例,全切除9例、次全切1例;传统组7例,全切5例,次全切2例。超低组巨型肿瘤(4cm≤直径)15例,全切4例,次全切11例;传统组8例,次全切5例,部分全切3例,无1例全切。超低组的术后症状改善、并发症发生、肿瘤复发等方面均优于传统入路组。结论 超低双侧额下入路显露充分,切除率高,并发症少,复发率低,对于适合额下入路的巨型鞍区肿瘤的治疗优于传统的单侧额下入路。
Objective To discuss the practicability of a modified bilateral subfrontal approach in the resection of giant sellar tumors. Methods Fourty giant and large sellar tumors were resected through ultralow bilateral subfrontal approach or conventional unilateral subfrontal approach. The curative effects and complications were statistically analysed. Results In the bilateral approach group, of 10 cases of large tumors (2 cm ≤ diameter<4 cm), 9 received total resection and 1 subtotal; of 15 cases of giant tumors (diameter ≥4cm), 4 total and 11 subtotal. In the unilateral approach group, of 7 cases of the large tumors, 5 received total resection and 2 subtotal; of 8 cases of the giant tumors, 5 subtotal and 3 partial. There were better improvement of postoperative symptoms, fewer complications and fewer tumors recurrence in the bilateral approach group than in the unilateral approach group. Conclusion Due to better exposure, higher resection rate, fewer complications and fewer tumors recurrence, the ultralow bilateral subfrontal approach is better than the conventional unilateral approach for the resection of giant sellar tumors.
出处
《中国临床神经外科杂志》
2002年第2期72-74,共3页
Chinese Journal of Clinical Neurosurgery
关键词
超低双侧额下入路
鞍区肿瘤
垂体腺肿瘤
治疗效果
Ultralow bilateral subfrontal approach
Sellar tumor
Pituitary adenoma
Therapeutic effect
