鞍结节脑膜瘤经颅手术入路的选择

Selection of transcranial approach for tuberculum sellae meningiomas

鞍结节脑膜瘤(TSMs)通常采用经颅入路和内镜下经鼻蝶入路。手术入路的选择尚无统一的标准,选择哪一种入路方式除需根据肿瘤本身因素外,很大程度取决于术者对于手术入路的熟悉和掌握程度。本文针对TSMs临床上常用的手术入路,总结分析每一种入路方式的优缺点,以期掌握入路的精髓,对手术入路的选择起到有益的帮助。

Tuberculum sellae meningiomas(TSMs)are usually treated by transcranial and endoscopic transsphenoidal approaches.There is no uniform standard for the choice of surgical approach,which approach to choose depends not only on the tumor itself,but also on the the surgeon’s familiarity and mastery of the surgical approach.This article summarizes and analyzes the advantages and disadvantages of each approach for TSMs clinically commonly used surgical approaches,in order to grasp the essence of the approach and play a beneficial role in the choice of surgical approach.