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目的探讨鞍区肿瘤的手术入路的选择及显微手术的技巧。方法回顾性总结126例鞍区肿瘤的临床资料,均行显微手术,经翼点入路51例,鼻蝶入路45例,额下入路手术14例,经胼胝体-透明隔-穹窿间入路7例,经翼点联合颞下入路6例,经侧脑室额角-三脑室入路3例。应用脑室镜辅助41例。结果肿瘤全切113(例89.7%);大部分切除13例(10.3%),肿瘤残腔内置入I125放射性粒子行内放射治疗。患者术后临床症状和体征有不同程度的改善,无死亡病例。本组病例手术效果良好,治疗效果满意。结论应用的理想的手术入路和显微手术技巧治疗鞍区肿瘤可以获得满意的临床效果。
Objective To explore the surgical approach of sellar area tumor and the technique of microsurgery. Methods The clinical data of 126 cases of sellar tumors were retrospectively reviewed. All the patients underwent microsurgery. There were 51 cases with pterional approach, 45 cases with nasalis approach, and 14 cases with inferior frontal approach. The corpus callosum - transseptal - vault In 7 cases, 6 cases were treated by wing point combined with infratemporal approach, and 3 cases were inflated into the lateral ventricle forehead and the third ventricle. Application of intraventricular mirror assisted 41 cases. Results Totally 113 (89.7%) tumors were resected; 13 (10.3%) were resected in the majority, and I125 radioactive particles were placed in the residual cavity of the tumor. Patients with clinical symptoms and signs of varying degrees of improvement, no deaths. This group of patients with good surgical results, the treatment effect is satisfactory. Conclusion The application of the ideal surgical approach and microsurgical techniques in the treatment of sellar tumors can achieve satisfactory clinical results.