垂体柄与鞍区肿瘤位置关系的初步分型及其保护

A primary classification of pituitary stalk in sellar tumors and its preservation

目的 总结垂体柄在不同类型鞍区肿瘤中的受累方式,探讨如何在手术中寻找和保护垂体柄。方法 对239例鞍区肿瘤患者（手术资料中对垂体柄有明确描述和保留程度的记述）的围手术期资料进行回顾性分析。结果 对垂体柄与鞍区肿瘤的关系进行了初步分类,总结了针对不同关系类型的垂体柄的保护方法。结论 了解垂体柄与鞍区肿瘤的位置关系对全切肿瘤及保护垂体柄有指导意义。

Objective To summarize the relationship between the pituitary stalk and different kinds of sellar tumors to provide methods by which the pituitary stalk can be identified and preserved. Methods Retrospective analysis was performed on the perioperative data of 239 cases. Results A primary classification based on the relationship between the pituitary stalk and sellar tumors was introduced and our experience in preserving the pituitary stalk was expatiated. Conclusion To understand the relationship between the pituitary stalk and sellar tumor offers an instructive significance for the total resection of a tumor and preservation of the pituitary stalk.