CAJ | 학술논문

目的探讨分析纵裂人路切除鞍区大型或巨大型不同肿瘤的疗效.方法对36例呈浸润性生长的、大或巨大型的垂体腺瘤、脑膜瘤、颅咽管瘤、胶质瘤、皮样囊肿等不同性质的鞍区肿瘤采用经纵裂入路的显微手术进行治疗.结果在36例中,依据术中显微镜下所见及术后CT或MRI复查结果.29例全切,5例次全切,2例大部切除.无明显术后并发症,无死亡病例.术前视力、视野损害者26例,24例术后当天开始好转,无变化或加重1例.其中有内分泌症状者,术前闭经、泌乳14例,术后泌乳停止13例,1例较术前减少.18例功能性垂体腺瘤患者中接受随访12例,血激素水平恢复正常10例,较术前明显下降2例.2例肿瘤复发,均行放射治疗.证明手术治疗效果良好.结论纵裂入路是鞍区大型浸润性生长肿瘤手术治疗的重要方式.
목적 탐토분석종렬인로절제안구대형혹거대형불동종류적료효.방법 대36례정침윤성생장적、대혹거대형적수체선류、뇌막류、로인관류、효질류、피양낭종등불동성질적안구종류채용경종렬입로적현미수술진행치료.결과 재36례중,의거술중현미경하소견급술후CT혹MRI복사결과.29례전절,5례차전절,2례대부절제.무명현술후병발증,무사망병례.술전시력、시야손해자26례,24례술후당천개시호전,무변화혹가중1례.기중유내분비증상자,술전폐경、비유14례,술후비유정지13례,1례교술전감소.18례공능성수체선류환자중접수수방12례,혈격소수평회복정상10례,교술전명현하강2례.2례종류복발,균행방사치료.증명수술치료효과량호.결론 종렬입로시안구대형침윤성생장종류수술치료적중요방식.
OI To research the new interhemispheric approach treatments of removing different large or huge sellar region tumor. Methods To remove 36 cases of different infiltrated-growth large or huge sellar region tumors by interhemisphefic approach microsurgery. Results In the 36 cases, total removal was achieved in 29, subtotal in 5 and most-partly in 2, and without any severe complications or death occured. 12 in 18 functional pituitary adcnoma were followed up, 10 cases got recovery on hormone level, and the level in 2 cases reduced ob ously. 2 cases recurred, both received γ-knife treatment. Conclusion The new interhemispheric approach surgery is important for large or huge invasive sellar region tumor.