鞍区病变侧方经颅手术入路的研究进展  

Research progress of lateral craniotomy approach in the treatment of sellar region diseases

作　　者：马草原 刘希光 MA Caoyuan;LIU Xiguang(Department of Neurosurgery,Lianyungang Hospital Affiliated to Xuzhou Medical University,Lianyungang,Jiangsu 222000,China)

机构地区：[1]徐州医科大学附属连云港医院神经外科,江苏连云港222000

出　　处：《安徽医药》2018年第12期2311-2315,2500,共6页Anhui Medical and Pharmaceutical Journal

基　　金：连云港市科技局社会发展重点项目(SH1534)

摘　　要：当前神经外科的进步得益于手术精确性的不断提高,显微解剖及入路的研究是精细手术技术不断发展的基础。鞍区因其位置较深、解剖结构复杂、毗邻重要的生命中枢且手术操作空间有限,因此手术难度极高,鞍区同时也是垂体瘤、颅咽管瘤、脑膜瘤及前循环动脉瘤等的好发部位。目前常用于处理鞍区病变侧方经颅手术入路依据骨窗大小及位置的不同主要分为:翼点入路、眶上外侧入路,在此基础上发展的微创锁孔入路及联合手术入路。该文就目前常用的鞍区侧方经颅手术入路的研究进展进行综述。Nowadays,the advancement of neurosurgery benefits from the increasing accuracy of surgery constantly.The research of microsurgical anatomy and approaches are the basis for the development of meticulous surgical technique.Because of the deep location,complicated anatomic structures,adjacent to important vital center and limited operative space,sellar region is difficult to operate.The sellar region is also a predilection site for pituitary adenoma,craniopharyngioma,meningiomas,anterior circulation aneurysms and so on.At present,according to the size and location of the bone window,the lateral craniotomy approaches are commonly divided into pterional approach(PT),lateral supraorbital approach(LSO),keyhole approaches and combined approaches for treating sellar diseases.The article reviewed the current research progress of lateral craniotomy approaches in the treatment of sellar region diseases.

关 键 词：鞍区病变 手术入路 神经解剖 

分 类 号：R651.1[医药卫生—外科学]