经鼻蝶窦入路神经内镜辅助手术治疗鞍区病变(附26例报告)  

Endoscopic endonasal transsphenoidal surgery for saddle lesions: experiences of 26 patients

作　　者：李毅平[1] 朱晓波[1] 罗毅男[1] 赵刚[1] 慕广雯[2] 王长坤[1] 高安正和[3] 

机构地区：[1]吉林大学第一医院神经外科 [2]吉林省红石林业局职工医院133700 [3]日本国立名古屋大学附属医院神经外科

出　　处：《中国微侵袭神经外科杂志》2003年第10期447-448,共2页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的探讨经鼻腔蝶窦入路神经内镜辅助手术的方法。方法全麻下经单鼻腔蝶窦导入神经内镜行26例鞍区病变切除,必要时辅以显微镜。结果24例肿瘤病人中20例全切除,4例次全切除。术后无一例发生脑脊液漏和颅内感染。1例垂体脓肿和1例空蝶鞍均临床治愈。随访6～25个月,10例视力恢复至5.0,6例月经恢复正常,11例内分泌水平恢复正常。结论经鼻腔蝶窦入路神经内镜手术侵袭性小,疗效确切。Objective To discuss the endoscopic endonasal transsphenoidal surgery experiences with 26 patients. Methods All patients were determined by means of MRI or CT and secretory level test. The lesion was removed via transmononasal sphenoid sinus approach under endoscopic surgery. Results Total resection is achieved in 20 patients and subtotal removal in 4 patients. The follow-up period ranged from 6 to 25 months. There was no postoperative infection or death. The vision recovered to 5.0 in 10 cases, hormone-secreting function rehabilitated in 11 cases, and menses rehabilitated in 6 cases. Conclusion Transmononasal sphenoid sinus approach under endoscope supervision was effective and less invasive.

关 键 词：经鼻蝶窦入路 神经内镜手术 鞍区病变 显微外科 手术方法 

分 类 号：R651.1[医药卫生—外科学]