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目的 总结经眶上翼点入路显微手术切除巨大鞍区肿瘤的经验。 方法 经眶上翼点入路显微手术切除巨大鞍区肿瘤 18例 ,其中垂体腺瘤 7例 ,颅咽管瘤 8例 ,生殖细胞瘤、脑膜瘤、成熟性畸胎瘤各 1例。 结果 肿瘤全切除 12例 ,次全切除 6例。术后随访 4～ 2 3个月 ,恢复良好 12例 ,生活自理 3例 ,生活需人照顾 2例 ,死亡 1例。 结论 眶上翼点入路能很好地显露鞍区肿瘤及其周围结构 ,显微手术是安全切除肿瘤、保护下丘脑功能的关键。
Objective To summarize the experience of microsurgical resection of giant saddle region tumors through supraorbital pterional approach. Methods 18 cases of giant saddle tumor were excised microsurgically via supraorbital pterygia, including 7 cases of pituitary adenoma, 8 cases of craniopharyngioma, 1 case of germ cell tumor, meningioma and mature teratoma respectively. Results Tumor resection in 12 cases, subtotal resection in 6 cases. The patients were followed up for 4 to 23 months, recovered well in 12 cases, self-care in 3 cases, life in need of care in 2 cases and 1 death. Conclusion Supraorbital pterional approach can well reveal the tumor in the sellar region and its surrounding structures. Microsurgery is the key to safely remove the tumor and protect the function of the hypothalamus.