经眶额蝶联合入路显微手术切除大型、巨大型垂体腺瘤  

Microsurgery of large and huge pituitary adenomas by transorbitofrontosphenoidal combined approach

作　　者：刘运生[1] 陈善成[1] 袁贤瑞[1] 马建荣[1] 刘景平[1] 侯永宏[1] 马志明[1] 姜维喜[1] 罗端午[1] 陈立华[1] 黄月明[1] 霍雷[1] 王君宇[1] 曹美鸿[1] 

机构地区：[1]湖南医科大学湘雅医院神经外科

出　　处：《中华神经外科杂志》1997年第5期274-277,共4页Chinese Journal of Neurosurgery

摘　　要：目的：介绍一种新联合入路及其在４１例大型、巨大型垂体腺瘤显微手术的运用经验，并与经蝶入路、经颅入路及经额下—蝶窦入路进行比较。方法：作一个眶额骨瓣，于鞍结节处将经额入路（于额叶下方经鞍膈）及经蝶入路（经蝶骨平板及蝶窦前壁）联成一体。结果：全切２５例（６１％），１例术后死亡（２．４％）。结论：此入路适用于巨大型垂体腺瘤切除术。Objective: To introduce a new transorbitofrontosphenoidal combined approach with microsurgical experience in 41 cases of large and huge pituitary adenomas, and compare this approach with transsphenoidal, intracranial and transfrontal shenoidal approach. Methods: A obital frontal bone flap was cut, combined the transfrontal (via subfrontal, transdiaphragma sellae) with transsphenoidal approach (the sphenoidal plate and the sellae anterior wall were removed) at tubercle of sellae. Results: Total removal was achieved in 25 cases (61%), 1 cases died after operation (2 4%). Conclusion: The new approach is good for huge pituitary adenomas.

关 键 词：垂体肿瘤 腺瘤 显微外科手术 

分 类 号：R736.405[医药卫生—肿瘤]