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经眶—额、筛、蝶窦—颅内联合入路切除大型垂体腺瘤 被引量:2

COMBINED TRANSORBITAL-FRONTAL,ETHMOIDAL AND SPHENOID SINUSES-INTRACRANIAL APPROACH FOR SURGERY OF LARGE PITUITARY ADENOMAS
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摘要 介绍一种联合入路切除大型垂体腺瘤的手术方法。此术式经眶、额部进入蝶窦,能同时显示鞍上、鞍内的肿瘤及其周围重要结构,有利于全切乃至根除肿瘤。该方法与传统的入路进行了比较。 combined transorbital-frontal,ethmoidal and sphenoid sinuses-intracranial approachfor surgery of large pituitary adenomas is described in this paper with a satisfactory operativeresult of 12 cases. This is an operative mode in which the orbital frame is performed after or-dinary frontal craniotomy,The sphenoid sinues is opened through the planum sphe-noidale,The dura of the anterior and the inferior walls of the sellar floor are opened(Transsphenoidal approach)and the diaphrama sellae is opened too(Intracranial approach)The two openings are united together at the tuberculla sella earea(Combined approach)This approach provides a wide exposure for the chance of complete removol of thesuprasellar and the intrasellar pituitary tumor。 Further assessment is needed, however,to de-termine the usefulness of this operative procedure.
出处 《湖南医科大学学报》 CSCD 1994年第4期329-332,共4页 Bulletin of Hunan Medical University
关键词 垂体肿瘤 腺瘤 外科手术 切除术 pituitary neoplasms adenoma surgery,operative methods
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