眶上额外侧锁孔入路治疗前颅窝底和鞍区肿瘤

Supraorbital Keyhole Approach to Tumors of Anterior Fossa and Sellar Region

为探讨眶上额外侧锁孔入路切除前颅窝底和鞍区肿瘤的临床效果 ,对 39例采用眶上额外侧锁孔入路、36例传统经额下入路治疗的前颅窝底和鞍区肿瘤病例的临床结果进行前瞻性对照研究。结果 :眶上额外侧锁孔入路与传统额下入路相比 ,肿瘤切除程度、主要术后并发症和术后复发率无显著性差异 ;但是锁孔入路手术创伤小 ,术中出血少 ,输血率低 ,术后平均住院日缩短。提示 :眶上额外侧锁孔入路治疗前颅窝底和鞍区肿瘤创伤小且疗效满意。

The purpose of this study was to evaluate the results of the supraorbi tal keyhole approach performed on tumors of the anterior fossa and sellar region . Altogether 39 patients with tumors of the anterior fossa and sellar region wer e operated upon by using this approach traditional subfrontal approach were oper ated upon by and 36 patients. The surgical resu lts were analyzed prospectively and compared. It showed no difference in th e tumor resection degree, main complicatio ns and tumor recurrence between the two different approaches. But patients who w ere operated on and received the supraorbital keyhole approach had less operativ e trauma, achieving good out-looking and shorter hospitalization. It suggests t hat the supraorbital keyhole approach with a eyebrow skin incision is a safe and convenient minimal-invasive approach for experienced micro-neurosurgeons in t he treatment of lesions of the anterior fossa and sellar region.