经翼点入路显微外科治疗大型垂体腺瘤  

Microsurgical resection of large pituitary adenoma via pterional approach

作　　者：杨少春[1] 王文浩[1] 林国文[1] 陈文彬[1] 罗飞[1] 

机构地区：[1]解放军第175医院神经外科,福建漳州363000

出　　处：《中国现代医学杂志》2004年第6期76-77,80,共3页China Journal of Modern Medicine

摘　　要：目的　报道经翼点入路或其改良入路显微手术切除 18例垂体腺瘤并探讨优、缺点。方法　经翼点开颅 ,采用显微手术解剖鞍区各脑池 ,充分利用鞍区 4个解剖间隙切除肿瘤。结果　 18例中全切除或次全切除 14例 ,无手术死亡 ,无严重并发症 ,复发 2例。结论　采用改良翼点入路显微手术切除大型垂体腺瘤 ,疗效满意。Objective:To introduce the experiences of large p ituitary adenoma treated by improved microsurgical opreation via pterional appro ach,discuss the aduantages and disaduantages of it. Methods:18 c ases with large pituitary adenoma ,which accepted microsurgical operation via im proved piterional approach,were reviewed retrospectively.The cisterns of the se llar region was dissected first under the operative microscope and the microsurg ical resections were then done by making use of the fully exposed anatomic space .Results:In the series of patients ,total removal of the tumor w as achieved in 14,with no death of the operation or severe complication .Two pat ients relapsed during follow-up period .Conclusions:The authors considered that satisfactory outcome could be expected when the reformed piterio nal approach was used for microsurgical operation on the patient with large pitu itary adenoma.

关 键 词：垂体腺瘤 翼点入路 显微手术 

分 类 号：R736.4[医药卫生—肿瘤]