宋冬雷 李士其 周良辅 200040 上海医科大学附属华山医院神经外科 中华神经外科杂志 1998 0 14 2


    关键词：垂体瘤；神经外科手术；扩大额下硬膜外入路 期刊 zhsjwkzz 0 论 著 fur -->


    

摘要 目的：报道20例经扩大额下硬膜外入路切除巨大侵袭性垂体瘤。方法：侵及蝶窦、筛窦和斜坡部位的肿瘤可在直视下完全切除，对于鞍上和鞍旁有巨大瘤体者，加用额下硬膜内入路和颞下硬膜内入路可提高切除率。本文重点介绍该入路的手术方法，注意事项等。结果：本组巨型垂体瘤全切除和次全切除率为90%，无手术死亡，无严重并发症。结论：采用扩大额下硬膜外入路切除巨大侵袭性垂体瘤，尤其向颅底方向生长者，疗效满意。

Resection of giant invasivepituitary adenomas via the extended subfrontal extradural approach Song Donglei, Li Shiqi, Zhou Liangfu, Department of Neurosurgery, Huashan Hospital, Shanghai Medical University,Shanghai 200040

    Abstract Objective: To report 20 cases ofgiant invasive pituitary adenomas resected via the extended subfrontal extraduralapproach. Methods: Tumors involving the ethmoidal sinus, the sphenoidal sinus and theclivus can be removed completely via this approach. Combined with subfrontal intraduralapproach or subtemporal intradural approach tumors with large suprasellar extensions orparasellar extensions can be removed more sufficiently. Surgical techniques and operativecare were introduced. Results: In our series, total and subtotal removal were achieved in90%, without death or severe complications. Conclusion: Giant invasive pituitary adenomascan be resected via is approach, and excellent outcomes were achieved.

    Key words Pituitary adenoma Neurosurgical technique Extended subfrontal extraduralapproach

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