朱贤立 张方成 赵洪洋 赵甲山 林 洪 林 宁 聂世斌 430022 武汉，同济医科大学附属协和医院神经外科 中华神经外科杂志 1998 0 14 2


    关键词：垂体腺瘤；翼点入路；显微外科；放射治疗 期刊 zhsjwkzz 0 论 著 fur -->


    

摘要 目的：介绍423例垂体腺瘤经翼点入路显微手术治疗经验。方法：经翼点入路开颅，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。同时主张全部病例在术后短期内放疗。结果：397例达全切，占94%。死亡14例，占3.3%。16例于术后3～5年复发，占4.8%。结论：垂体腺瘤经翼点入路采用显微手术治疗，是提高全切率，降低死亡及复发率的重要手段。

Microsurgical treatment of pituitary adenoma with transpterional approach Zhu Xianli, Zhang Fangcheng, Zhao Hongyang, et al. Dept. of Neurosurgery, Union Hospital of Tong Ji Medical University, Wuhan 430022

    Abstract Objective:To intruduce the microsurgical operative experience of 423 eases pituitary adenoma excision with transpterional approach. Methods: All patients were operated via the pterional cranitomy. Dissection of cisterns in sellar region were performed under microscope. The 4 anatomy spaces in sellar region were used to remove tumors by employing microsurgical technique. Authors suggest, all patients must receive radiotherapy after operation. Results: Total removal of tumors were achieved in 397 cases(94%), 14 cases died after operation (3.3%), recurrence of tumors in 16 cascs (4.8%). Conclusion:Pterional approach with microsurgical technique can improve the rate of total tumor removal and can decrease the mortallty and recurrent rate.

    Key words Pituitary adenoma Pterional approach Microsurgical technique Radiotherapy

我科自1982年7月至1995年9月共收治垂体腺瘤446例 ......

您现在查看是摘要页，全文长 15047 字符。