经额下-纵裂联合入路显微手术切除巨大鞍区肿瘤  

Microsurgical Dissection of Huge Seller Tumor via Subfrontal Combined Longitudinal Fission Approach

作　　者：何正文[1] 刘运生[2] 袁贤瑞[2] 方佳胜[2] 吴胜奇[1] 任年军[1] 高洪波[1] 章凯[1] 曹美鸿[2] 

机构地区：[1]湖南省肿瘤医院神经外科,湖南长沙410006 [2]中南大学湘雅医院神经外科,湖南长沙410008

出　　处：《医学临床研究》2005年第10期1429-1431,共3页Journal of Clinical Research

摘　　要：【目的】探讨经额下-纵裂联合入路显微手术切除巨大鞍区肿瘤的方法、疗效及适应证。【方法】1996年1月至2004年12月,作者采用经额下-纵裂联合入路切除26例最大径超过4 cm的鞍区肿瘤,其中脑膜瘤13例,垂体腺瘤8例,颅咽管瘤5例。【结果】本组肿瘤全切24例,次全切2例,全切率91.7%,术后无死亡及严重并发症,平均KPS计分88.5。【结论】应用经额下-纵裂联合入路可提高鞍区巨大肿瘤全切率,减少并发症;适应于肿瘤最大径>4 cm),正中生长,质地硬,与wills环关系密切,尤其是大脑前动脉、前交通动脉穿过肿瘤者。[Objective]To study the new approach-subfrontal combined longitudinal fission approach for microsurgical dissection of huge Seller Tumor, in order to improve radical removal rate of the tumor and decrease the complication. [Methods]Between January 1996 to December 2004 , 26 cases of huge Seller Tumor （ maximum diameter ≥4 cm） were microsurgically dissected with the new subfrontal combined longitudinal fission approach , 13 cases were meningioma, 8 were pituitary adcnoma, while 5 were craniopharyngioma. [Results]Twenty-four cases were totally removed , 2 cases subtotally removed , radical rate was 91.7 %, no patient died post-operatively, Average KPS was 88. 5. [Conclusion]The new combined approach is better than the traditional one in huge symmetical Sellar Tumor dissection, especially for meningioma in close relation with wills cycle, anterior cerebral artery passes through tumors.

关 键 词：脑肿瘤/外科学 蝶鞍 显微外科手术 

分 类 号：R739.41[医药卫生—肿瘤]