经眉弓锁孔入路治疗颅内病变(附290例分析)  

Transorbital keyhole approach for intracranial diseases: analysis of 290 cases

作　　者：郑永日[1] 郭冕[2] 李青松[2] 赵岩[2] 葛云龙[2] 胡韶山[2] 张儒有[2] 王建交[2] 

机构地区：[1]华中科技大学同济医学院,湖北武汉430030 [2]哈尔滨医科大学附属第二医院神经外科,黑龙江哈尔滨150086

出　　处：《中国微侵袭神经外科杂志》2008年第9期388-389,共2页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的总结经眉弓锁孔入路治疗颅内病变的手术经验。方法回顾性分析近10年来收治的290例颅内病变的手术经验。病变位于鞍区279例,颅前窝9例,第三脑室2例。均行经眉弓锁孔入路病变切除术。结果病变全切除214例(73.8%),次全切除76例(26.2%)。206例术前视力障碍病人中,术后1周内视力有所改善158例(76.7%)。术后出现暂时性尿崩24例(8.3%);脑脊液鼻漏5例(1.7%),经保守治疗后恢复。107例功能性腺瘤病人中,术后1周内分泌恢复正常水平56例(52.3%),其余均有不同程度的下降。1例无功能垂体腺瘤病人术后第5天死于心肌梗死。对180例病人术后随访1年,复发15例。结论经眉弓锁孔手术是一种安全、有效的微创手术,值得进行深入研究和广泛应用。Objective To summarize operative experience via Transorbital keyhole approach for intracranial diseases.Methods Surgical experience from 290 patients with intracranial diseases operated in the past 10 years were retrospectively analyzed.The tumor was located in sellar in 279 cases,former fossa in 9,and the third ventricle in 2.Patients were all operated on through the supraorbital keyhole approach.Results Total resection of tumor was achieved in 214 cases(73.8%),and subtotal in 76(26.2%).In 206 patients wit...

关 键 词：经眉弓锁孔入路 脑肿瘤 显微外科手术 

分 类 号：R651[医药卫生—外科学]