神经导航在单鼻孔-蝶窦入路垂体腺瘤摘除术中的临床应用  

Clinical Application of Neurovavigation System in Transsphenoidal Pituitary Adenomectomy

作　　者：田复明[1] 窦长武[1] 高乃康[1] 杨继文[1] 

机构地区：[1]内蒙古医学院附属医院神经外科,内蒙古呼和浩特010050

出　　处：《内蒙古医学杂志》2009年第3期330-331,共2页Inner Mongolia Medical Journal

摘　　要：目的:探讨神经导航系统在经鼻-蝶窦入路垂体腺瘤切除手术中的应用。方法:在12例垂体腺瘤手术中,应用神经导航系统指导手术,进行三维重建,标记出肿瘤及重要结构后,设计最佳手术入路,术中在导航的引导下切除肿瘤,判断肿瘤切除程度。结果:平均导航注册精度为(1.05±0.5)mm,9例肿瘤达全切除,2例次全切除,1例大部切除,术后10例病人症状有不同程度的改善,2例无变化,术后无严重并发症出现。结论:神经导航辅助下经鼻蝶垂体腺瘤切除术具有定位准确、创伤小等优点,有助于提高肿瘤切除率,减少并发症。Objective：To explore in the clinical application of neuronavigation system in transsphenoidal pituitary adenomectomy. Methods： In 12 cases undergoing pituitary adenomectomy, the neuronavigaiton system was applied in guiding surgery by arranging operative approach by reconstructing in three dimensions and posi- tioning tumor and important structures, guiding resecting tumor and juidging the degrees of resection. Results： The errors of locations were limited in 1.05 ± 0.5mm. There was 9 cases with totoal removal of tumor, 2 cases with subtotal removal of tumor, 1 cases with removal of most tumor. After surgery, 10 cases improved, 2 cases had no changed. No severe complications occurred. Conlusion： Neuronavigation system in transsphenoidal pituitary adenomectomy has advantage of precise location and mini - trauma, the technique is valid in improving the rate of tumor resection and lessening complications.

关 键 词：垂体腺瘤 神经导航 经鼻蝶入路 

分 类 号：R736.4[医药卫生—肿瘤]