摘要
目的：介绍４２３例垂体腺瘤经翼点入路显微手术治疗经验。方法：经翼点入路开颅，采用显微手术解剖鞍区各脑池，充分利用鞍区４个解剖间隙切除肿瘤。同时主张全部病例在术后短期内放疗。结果：３９７例达全切，占９４％。死亡１４例，占３．３％。１６例于术后３～５年复发，占４．８％。结论：垂体腺瘤经翼点入路采用显微手术治疗，是提高全切率。
Objective:To intruduce the microsurgical operative experience of 423 eases pituitary adenoma excision with transpterional approach. Methods: All patients were operated via the pterional cranitomy. Dissection of cisterns in sellar region were performed under microscope. The 4 anatomy spaces in sellar region were used to remove tumors by employing microsurgical technique. Authors suggest, all patients must receive radiotherapy after operation. Results: Total removal of tumors were achieved in 397 cases(94%), 14 cases died after operation (33%), recurrence of tumors in 16 cascs (48%). Conclusion:Pterional approach with microsurgical technique can improve the rate of total tumor removal and can decrease the mortallty and recurrent rate.
出处
《中华神经外科杂志》
CSCD
北大核心
1998年第2期90-93,共4页
Chinese Journal of Neurosurgery
关键词
垂体肿瘤
腺瘤
显微外科手术
Pituitary adenoma Pterional approach Microsurgical technique Radiotherapy
