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目的:提高鞍区肿瘤的手术疗效。方法:对24例鞍区肿瘤选择翼点入路行显微外科手术,其中垂体腺瘤17例,颅咽管瘤4例,异位松果体瘤1例,脑膜瘤2例。结果:肿瘤全切除19例,次全切5例,无手术死亡。结论:显微手术视野清楚,损伤小,选择翼点入路可提高肿瘤全切率,减少并发症。
Objective: To improve the surgical effect of sellar tumors. Methods: Seventy - five cases of sellar tumors were treated by microsurgery. Seventeen cases of pituitary adenoma, four cases of craniopharyngioma, one case of ectopic pineal tumor and two cases of meningioma were selected. Results: Totally 19 cases were resected and 5 cases were subtotally resected without any surgical death. Conclusion: The microsurgery has a clear field of vision and less damage. Choosing the pterional approach can increase the rate of tumor resection and reduce complications.