显微切除鞍区占位病变33例临床分析

Analysis of 33 cases of microsurgery of sellar tumors

目的探讨鞍区占位病变的手术入路。方法回顾分析经手术治疗鞍区占位病变33例的临床资料。结果显微镜下肿瘤全切除26例,次全切除3例,肿瘤大部分切除4例。结论鞍区占位病变进行CT和/或MRI检查可明确诊断,显微手术治疗是最佳方法,正确选择手术入路,掌握手术方法和术中注意事项是提高肿瘤切除程度和术后疗效的关键。

Objective To investigate the effect of microsurgial approcach on the sellar tumors. Methods The clinical data of consecutive 33 paients with the sellar tumors were retrospectively analyzed. Results Under the operative microscope, the tumors totally removed in 26 caces, subtotally in 3 cases, and partially in 4 cases. Conclusions CT and/or MRI are excellent methods in diagnosis of the sellar tumors. The best surgical method is microsurgery. Correct approach selection, mastery of the operative method and notes in operoach selection, mastery of the operative method and notes in operction are the keypoint to improve the degree of tumor removed and the effect of post operation.