CAJ | 학술논문

目的总结经额外侧入路显微手术治疗鞍区病变的可行性及效果. 方法回顾性分析粤北人民医院神经外科自2009年1月至2011年12月经额外侧入路显微手术治疗的28例鞍区病变患者资料,其中鞍结节和前床突脑膜瘤8例,垂体腺瘤5例,颅咽管瘤3例,胆脂瘤1例,前交通动脉瘤6例,后交通动脉瘤5例. 结果 17例鞍区肿瘤全切12例,次全切5例；6例前交通动脉瘤和5例后交通动脉瘤均成功夹闭；无手术死亡或重度残疾患者. 结论经额外侧入路显微手术可充分显露并治疗大部分鞍区病变,创伤小且疗效满意.
목적 총결경액외측입로현미수술치료안구병변적가행성급효과. 방법 회고성분석월북인민의원신경외과자2009년1월지2011년12월경액외측입로현미수술치료적28례안구병변환자자료,기중안결절화전상돌뇌막류8례,수체선류5례,로인관류3례,담지류1례,전교통동맥류6례,후교통동맥류5례. 결과 17례안구종류전절12례,차전절5례；6례전교통동맥류화5례후교통동맥류균성공협폐；무수술사망혹중도잔질환자. 결론 경액외측입로현미수술가충분현로병치료대부분안구병변,창상소차료효만의.
Objective To investigate the feasibility and effect of frontolateral approach in microsurgical treatment of sellar region lesions. Methods Twenty-eighty patients with sellar region lesions,admitted to our hospital from January 2009 to December 2011,were treated with microsurgery via frontolateral approach; a retrospective analysis of their clinical data was conducted. In these 28 patients,8 had meningiomas ofsellar tuberculum and anterior clinoidal process,5 pituitary tumors,3 craniopharyngiomas, 1 cholesteatoma, 6 anterior communicafing artery aneurysms and 5 posterior communicating artery aneurysms. Results The total removal was achieved in 12 of the 17 patients with sellar region tumors,and subtotal removal in 5.Six patients with anterior communicating artery aneurysm and 5 with posterior communicating artery aneurysm were successfully clipped.No death or severely disabled case were noted. Conclusion The microsurgery via frontolateral approach can fully expose the sellar region lesions and proper treatment can be given, which is minimally invasive and enjoys satisfactory result.