鞍区肿瘤的显微外科

Microsurgery of sellar region tumor

目的:提高鞍区肿瘤的手术疗效。方法:对24例鞍区肿瘤选择翼点入路行显微外科手术,其中垂体腺瘤17例,颅咽管瘤4例,异位松果体瘤1例,脑膜瘤2例。结果:肿瘤全切除19例,次全切5例,无手术死亡。结论:显微手术视野清楚,损伤小,选择翼点入路可提高肿瘤全切率,减少并发症。

Objective:To further improve the surgical effect of sellar region tumors.Methods:24 cas- es of sellar region tumor were reseeted via transpterional approaches .There were 17 cases of pituitary ade- noma 4 eases eraniopharyngioma;lease ectopic pinealoma;2 cases meningiomas .Results:In this series the tumor were totally removed in 19 cases and subtotally in the other five.No patients died from opera- tion.Conclusion:Under the microscopical operation there are good exposure of operative field and little damage.To select the transpterional approaches could obtain a higher tumor resection rate and lower com- plications.