鞍结节脑膜瘤经颅手术入路的选择  

Selection of transcranial approach for tuberculum sellae meningiomas

作　　者：陈立华 孙恺 张洪钿 陈文锦 徐如祥 Chen Lihua;Sun Kai;Zhang Hongtian;Chen Wenjin;Xu Ruxiang(Department of Neurosurgery,Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital,Chengdu 610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院神经外科,成都610072

出　　处：《中华脑科疾病与康复杂志（电子版）》2020年第1期38-43,共6页Chinese Journal of Brain Diseases and Rehabilitation（Electronic Edition）

摘　　要：鞍结节脑膜瘤(TSMs)通常采用经颅入路和内镜下经鼻蝶入路。手术入路的选择尚无统一的标准,选择哪一种入路方式除需根据肿瘤本身因素外,很大程度取决于术者对于手术入路的熟悉和掌握程度。本文针对TSMs临床上常用的手术入路,总结分析每一种入路方式的优缺点,以期掌握入路的精髓,对手术入路的选择起到有益的帮助。Tuberculum sellae meningiomas(TSMs)are usually treated by transcranial and endoscopic transsphenoidal approaches.There is no uniform standard for the choice of surgical approach,which approach to choose depends not only on the tumor itself,but also on the the surgeon’s familiarity and mastery of the surgical approach.This article summarizes and analyzes the advantages and disadvantages of each approach for TSMs clinically commonly used surgical approaches,in order to grasp the essence of the approach and play a beneficial role in the choice of surgical approach.

关 键 词：鞍结节脑膜瘤 手术入路 显微外科手术 

分 类 号：R739.45[医药卫生—肿瘤]