[1]李爱军,刘维生,郑月华,等.锁孔手术切除鞍区肿瘤及垂体柄的保护[J].中国临床神经外科杂志,2018,(09):589-592.[doi:10.13798/j.issn.1009-153X.2018.09.004]
 LI Ai-jun,LIU Wei-sheng,ZHENG Yue-hua,et al.Minimally invasive surgery through keyhole approach for sellar tumors and intraoperative protection of pituitary stalk[J].,2018,(09):589-592.[doi:10.13798/j.issn.1009-153X.2018.09.004]
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锁孔手术切除鞍区肿瘤及垂体柄的保护()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年09期
页码:
589-592
栏目:
论著
出版日期:
2018-09-25

文章信息/Info

Title:
Minimally invasive surgery through keyhole approach for sellar tumors and intraoperative protection of pituitary stalk
文章编号:
1009-153X(2018)09-0589-04
作者:
李爱军刘维生郑月华卜振富兰 青曹培成
261041 山东,潍坊市人民医院神经外科(李爱军、刘维生、郑月华、卜振富、曹培成);215004 江苏苏州,苏州大学附属第二医院神经外科(兰 青)
Author(s):
LI Ai-jun LIU Wei-sheng ZHENG Yue-hua BU Zhen-fu LAN Qing CAO Pei-cheng.
Department of Neurosurgery, Weifang Municipal People’s Hospital, Weifang 261041, China
关键词:
鞍区肿瘤锁孔手术垂体柄疗效
Keywords:
Sellar tumors Keyhole approach Pituitary stalk Minimally invasive surgery
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2018.09.004
文献标志码:
A
摘要:
目的 探讨锁孔手术切除鞍区肿瘤的效果,以及术中垂体柄的保护方法。方法 回顾性分析2014年6月至2017年3月采用锁孔手术切除的36例鞍区肿瘤临床资料,采用眶上锁孔入路和翼点锁孔入路。结果 术后病理证实,垂体腺瘤13例,脑膜瘤14例,颅咽管瘤9例。肿瘤全切除33例,近全切除3例。垂体柄全保留32例,部分保留3例,术中未发现垂体柄1例。近全切除3例术后行伽玛刀治疗。所有病例术后随访3个月~2年,均未见肿瘤复发。结论 锁孔手术治疗鞍区肿瘤,既安全、便捷、微创,又能达到切除肿瘤、保护垂体柄等重要结构的目的。
Abstract:
Objective To investigate the technique of minimally invasive surgery through keyhole approach for sellar tumors and the strategy of protection of pituitary stalk during the operation. Methods The microsurgery through supraorbital keyhole approach or pterional keyhole approach was performed in 36 patients of with sellar tumors diagnosed by brain CT and MRI examinations. The neuroendoscope, electrophysiological monitoring, and cut-ultrasound aspiration were intraoperatively used for the decrease in the surgery-side injury. Results The pathological examination after the surgery showed that of 36 patients with sellar tumors, 13 had of pituitary adenomas, 14 meningiomas, and 9 craniopharyngiomas. The total resection of the tumors was achieved in 33 patients , and subtotal resection in 3. The pituitary stalk was completely reserved in 32 patients, and partly in 3 and no pituitary stalk was found in 1 with craniopharyngioma. Transient diabetes insipidus occurred in 11 cases and seizures occurred in 1 cases after the surgery. No patient died from the operation and there were not complications related to the keyhole approach. Conclusions Keyhole approach can be used as an approach for surgical treatment of the sellar tumors, because it has the advantages such as safety, convenient and minimally invasive resection of the tumors and good of resection protection of the pituitary stalk and other important structures.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:山东省医药卫生科技发展计划(2014WS0265);潍坊市科技发展计划项目(2018YX038)
更新日期/Last Update: 2018-09-30