额外侧入路手术切除前颅窝底及鞍区肿瘤  

Microsurgery via the frontolateral approach for the anterior cranial fossa and sellar region tumors

作　　者：甘武[1] 詹升全[1] 郭文龙[1] 林晓风[1] 周东[1] 唐凯[1] 周德祥[1] GAN Wu ZHAN Sheng-quan GUO Wen-long LIN Xiao-feng ZHOU Dong TANG Kai ZHOU De-xiang.(Department of Neurosurgery, People＇s Hospital, Guangdong Province, Guangzhou 510080, China)

机构地区：[1]广东省人民医院神经外科,广州510080

出　　处：《中国临床神经外科杂志》2016年第10期583-585,588,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：目的 探讨经额外侧入路手术切除前颅窝底及鞍区肿瘤的方法及手术效果。方法 回顾性分析2015年1~12月经额外侧入路手术切除的48例前颅窝底及鞍区肿瘤的临床资料,其中嗅沟脑膜瘤5例,鞍结节脑膜瘤19例,垂体腺瘤10例,颅咽管瘤14例。结果 肿瘤全部切除36例,次全切除12例,无手术死亡病例。结论 经额外侧入路可较好暴露并切除前颅窝底及鞍区肿瘤,效果满意。Objective To explore the operative methods to treat the anterior cranial fossa and sellar region tumors and effects of mierosurgery via the frontolateral approach on them. Methods The clinical data of 48 patients with anterior fossa and sellar region tumors, who underwent microsurgery via the frontolateral approach from January, 2015 to December, 2015, were analyzed retrospectively. Of 48 patients with anterior fossa and sellar region tumors, 5 had olfactory groove meningiomas, 19 tuberculum sellae meningiomas, 10 pituitary adenomas and 14 craniopharyngiomas. Results Of 48 patients, 36 received total removal of the tumors and 12 subtotal. No patients died of the operation. Conclusion The curative effects of microsurgery via the frontolateral on anterior cranial fossa and sellar region tumors are good, because it can better expose the tumors and produce few complications.

关 键 词：颅内肿瘤 前颅窝 鞍区 显微手术 额外侧入路 疗效 

分 类 号：R739.41[医药卫生—肿瘤] R651.11[医药卫生—临床医学]