应用Yasargil入路及其改良方式切除鞍区及蝶骨嵴大型和巨大型肿瘤  

Application of Yasargil and modified Yasargil approachs for removing large and huge tumors of sella area and sphenoidal ridge

作　　者：雷鹏[1] 周杰[1] 王钰[1] 荔志云[1] 张玉[1] 

机构地区：[1]中国人民解放军兰州军区总医院神经外科,甘肃兰州730050

出　　处：《中国微侵袭神经外科杂志》2003年第7期303-305,共3页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的分析总结应用Yasargil入路及改良方式切除鞍区及蝶骨嵴部肿瘤。方法根据肿瘤部位、大小和发展方向采用相应入路,对158例病人实施手术,其中包括垂体瘤、鞍上脑膜瘤、蝶骨嵴内外侧脑膜瘤、三叉神经鞘瘤、颅咽管瘤和胚生殖细胞瘤。对颅底沟通瘤术后行鞍底重建。结果肿瘤全切145例(91.8%),不同类型肿瘤的全切率为75%～100%,死亡1例(0.6%)。平均随访3.1年,5例肿瘤复发。结论采用Yasargil入路及改良方式可以比较彻底地切除鞍区及蝶骨嵴部大型和巨大型肿瘤。Objective To analyze application and operative outcome of the Yasargil and modified Yasargil approaches for removing the large and huge tumors in sella area and the sphenoidal ridge. Methods 158 patients with pituitary adenomas, suprasella meningiomas, and inner and out sphenoidal ridge meningiomas, trigeminal neurinomas, craniopharyngiomas and germinoma were undergone microsurgery for removing the tumors via the Yasargil and modified Yasargil approaches. The defect of skull base was re-established. Results The tumors in 145 patients (91.8%) were totally removed. The total removal rate in different type of the tumors was from 75% to 100%. One patient (0.6%) died after surgery. Follow-up of 3.1 years showed the tumors' recurrence in 5 patents. Conclusion Usage of Yasargil and modified Yasargil approaches can easy and safely remove the large and huge tumors of sella area and sphenoidal ridge.

关 键 词：Yasargil入路 手术入路 术式改良 切除术 鞍区大型肿瘤 蝶骨嵴大型肿瘤 颅内肿瘤 

分 类 号：R739.4[医药卫生—肿瘤]