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目的探讨鞍区表皮样囊肿的临床特征、诊断及治疗。方法对经手术及病理证实的15例鞍区表皮样囊肿进行总结分析。结果15例中11例位于鞍上,3例位于鞍旁,1例位于鞍上/鞍旁,其中13例全切,1例近全切除,1例大部切除,本组无死亡及其他并发症。结论鞍区表皮样囊肿少见,本研究显示显微手术全切除效果理想,依据囊肿的不同位置及生长方式选择合理的手术入路是手术成功关键。
Objective To investigate the clinical features, diagnosis and treatment of epidermoid cyst in the sella region. Methods Fifteen cases of epidermoid cysts of the sellar area confirmed by operation and pathology were analyzed. Results In the 15 cases, 11 cases were located in the saddle, 3 cases were located in the parasella, and 1 case was located in the suprasellar / parasellar. Among them, 13 cases were completely excised, 1 case was subtotally resected and 1 case mostly resected. There was no death or other complications in this group disease. Conclusion There are few epidermoid cysts in the sellar region. This study shows that the microsurgical total resection is satisfactory. Choosing a reasonable surgical approach depending on the location and growth pattern of the cyst is the key to successful operation.