经额下-眶-翼入路显微手术治疗巨大型垂体腺瘤  

Microsurgical removal of the giant pituitary adenoma via transorbital subfrontal pterional approach

作　　者：王新军[1] 赵普学[1] 许自强[1] 赵忠伟[1] 寿纪新[1] 李培栋[1] 单峤[1] 刘泉[1] 

机构地区：[1]郑州铁路局中心医院神经外科,河南郑州450052

出　　处：《现代医学》2002年第4期233-235,共3页Modern Medical Journal

摘　　要：目的　总结巨大型垂体腺瘤的显微手术治疗经验。方法　对 10年间经额下 眶 翼入路显微手术治疗的 117例巨大型 (直径≥ 40mm)垂体腺瘤的手术情况进行回顾性分析。结果　全切肿瘤同时垂体柄保留完好者 94例 ( 80 .4%) ,近全切 16例 ( 13.7%) ,大部切除 7例 ( 5 .9%)。 98例获得术后随访 ,术后复发 7例。结论　经额下 眶 翼入路进行显微手术 ,能明显提高巨大型垂体腺瘤的全切率。Objective To review the microsurgical operative experiences of the giant pituitary adenoma.Methods A retrospective analysis was made of 117 patients with giant pituitary adenoma in our department in last 10 years,all patients were operated via the transorbital subfrontal pterional approach.Results Total removal of the tumor and anatomical preservation of the pituitary stem were achieved in 94cases(80.4%).The others were subtotally removed.Conclusion Microsurgical technique via transorbital subfrontal pterional approach can improve the total remove rate of the giant pituitary adenoma.

关 键 词：额下-眶-翼 显微手术 治疗 垂体腺瘤 

分 类 号：R736.4[医药卫生—肿瘤] R651.1[医药卫生—临床医学]