经眉锁孔入路切除大型、巨大型垂体腺瘤初步报告  

Transeyebrow suppraorbital keyhole approach for large and giant pituitary adenoma

作　　者：刘运生[1] 袁贤瑞[1] 刘景平[1] 罗端午[1] 侯永宏[1] 陈立华[1] 王君宇[1] 刘志雄[1] 陈凌[1] 

机构地区：[1]中南大学湘雅医院 神经外科

出　　处：《中国微侵袭神经外科杂志》2001年第2期69-71,共3页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的 介绍经眉锁孔入路显微手术切除14例大型、巨大型垂体腺瘤的经验。方法 对14例病人于一侧眉毛内作长约6cm的切口，眶上作一直径为2．5cm的圆形骨瓣，抬起额叶，进入鞍区，全切肿瘤实质部分，尽可能切除鞍上肿瘤壁，电灼处理残留鞍上及鞍内的瘤壁，保护好视神经、视交叉及垂体柄等重要结构。结果 13例（92．9％达到全切肿瘤及上述各种要求，1例为次全切。12例病人次日下床活动，恢复良好。 结论 采用经眉锁孔入路，能够切除直径在55mm以下的大型、巨大型垂体腺瘤，而且病人恢复快，并发症少。Objective Introducing the experience of transeyebrow suppraorbital keyhole approach for 14 cases of large and giant pituitary adenoma． Method 14 patients were operated via the transeyebrow incision about 6cm in length． A small free round bone flap 2．5 cm in diameter was made on the froantal bone pituitary adenoma was in evidence after gentle elevation of the frontal lobe． The suprasella portion of the tumor capsule was resecred as possible as you can． The remainder of the tumor capsule including the suprasellar and intrasellar portion was electrocoagulated． The important structures such as the optic nerve the chiasm and the pituitary stalk were preseved． Result 3 cases were totally removed with resecting the suprasella portion of the tumor capsule and electrocoagulating the remainder suprasellar and intrasellar portion of the tumor capsule． 1 case was subtotally removed． All the patients can get up and walk without any aid the next day and recover their health very well． Conclusion The large and giant pituitary adenoma，less then 55 mm in diameter can totally remove via the transeyebrow incision keyhole approach and the patients can recover quickly with a little complications．

关 键 词：经眉切口 锁孔入路 开颅手术 垂体腺瘤 外科手术 

分 类 号：R736.4[医药卫生—肿瘤] R730.56[医药卫生—临床医学]