经眉弓微骨窗入路显微手术切除鞍区肿瘤46例

46 Cases with Saddle Area Tumor of Microsurgical Removal by Eyebrow Microbone Window Approach

目的:总结经眉弓微骨窗入路显微手术切除鞍区肿瘤的经验。方法:对本院46例鞍区肿瘤患者采用经眉弓微骨窗入路显微手术切除肿瘤组织。结果:切口平均长度(6.22±1.24)cm,骨窗平均面积(8.51±1.80)cm^2,开关颅平均时间(25.36±6.23)min,平均住院日(22.35±2.77)d,术后良好率86.96%,肿瘤全切率78.26%,术后并发症发生率10.87%。结论:经眉弓微骨窗入路显微手术切除鞍区肿瘤医源性损伤小、手术后反应轻、术后并发症少、手术效果好、保护患者的容貌等优点,值得临床推广应用,但对肿瘤组织巨大、质地较硬、与周围相关结构粘连紧密、血供丰富者,较难达到最佳手术效果。

Objective： To summarize the experience in microsurgical removal of the saddle area tumors by eyebrow mierobone window approach.Method ： A total of 46 patients＇ saddle area tumors were cut off by eyebrow microbone window approach in our hospital.Result： The average length of the incision was （ 6.22 ± 1.24 ） em, the average area of bone window was （ 8.51 ± 1.80 ） cm2, the average time of switch cranial was （ 25.36 ±6.23 ） min, the average length of stay was （ 22.35± 2.77 ） d, the postoperative good rate was 86.96%, the total resection rate was 78.26%, and the rate of postoperative complications was 10.87%.Conclusion： The microsurgery via approach of eyebrow micro bone window is less atrogenic injury, lighter reaction after the operation, less postoperative complications, better operation effect and the patient＇s appearance protection, more worthy of clinical application, but the tumors that are huge, hard, closely sticky to the surroundings and rich blood supply are more difficult to achieve the best effect of surgery.