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经蝶入路是到达鞍隔最常用的入路,用于鞍内和鞍上病灶的手术治疗。作者推荐一种打开鞍底,将两个小骨瓣向两侧折叠的经蝶入路技术。这一方法用于鞍底骨质非常软、象纸一样薄时。可用尖刀或小凿作“H”形切开,将两个小骨瓣向两侧折叠,与颈动脉平行。当手术结束,需要重建鞍底时,可以象关闭双门一样,将两个小骨瓣复原。由于这两个小骨瓣非常柔软,可调节使之适合其下的骨窗缘。
The transsphenoidal approach is the most common approach to reach the saddle and is used for surgical treatment of lesions in the saddle and saddle. The authors recommend a technique that opens the saddle and folds the two small bony flanks to the sides. This method is used for saddle bone is very soft, as thin as paper. Can be a sharp knife or small chisel for “H” shape incision, the two small flap folded to both sides, parallel with the carotid artery. When the operation is over and the reconstruction of the saddle is needed, the two small bones can be restored just as the double door is closed. Since these two small bony lobes are very soft, they can be adjusted to fit the bone window under them.