鞍区肿瘤的临床特点及显微手术治疗

The Clinical Characteristics and Microsurgery of Sellar Tumor

目的:探讨鞍区肿瘤的临床特点、手术治疗及效果。方法:回顾性分析85例接受手术的鞍区肿瘤患者的临床资料。结果:全切73例,次全切8例,大部切除4例,术后死亡1例,随访76例3个月～2年,复发或残留生长5例,4例接受γ-刀治疗,1例再次手术。结论:鞍区肿瘤的发病率高,种类多样,临床表现复杂,根据肿瘤的特点选择合适的手术方式是提高切除率和改善预后的关键。

Objective：To study the clinical characteristics of the setlar tumor tumor, and its microsurgical treatment and result. Methods： The retrograde analysis of 85 cases of the tumors of sellar region accepted operative treatments was carried out. Results： The tumors were totally resected in 73 cases, subtotally resected in 8, and widely reseeted in 4. There was 1 postoperative death. With the followup of 76 cases from 3 months to 2 years, continuous growth of remnant tumor were found in 5 cases, 4 of them accepted γ-knife treatment, and one case was re-operated. Conclusion： With a high incidence and a large variety of the tumor types, sellar tumor demonstrates complicated clinical manifestations. Proper operative approach selected according to the tumor characteristics is the key to increase the resectability and to improve the prognosis.