CAJ | 학술논문

目的探讨经颅切除鞍区肿瘤术中垂体柄的保护策略.方法回顾性分析110例鞍区肿瘤的临床资料,采用翼点入路34例,额底入路21例,眶上入路20例,纵裂入路35例(额底纵裂入路26例,纵裂终板入路9例).结果垂体腺瘤47例,全切除42例,垂体柄完好保留44例,2例部分保留,1例未发现.颅咽管瘤38例,全切除32例,垂体柄完好保留27例,解剖保留或部分保留7例,未发现4例.脑膜瘤25例,全切除23例,垂体柄保留24例,1例解剖保留.经x2检验肿瘤的性质不同垂体柄完全保留率存在差异(P＜0.05).结论肿瘤的性质直接影响垂体柄的保留率,选择恰当的手术入路及娴熟的手术技巧,对垂体柄的辨认和保护至关重要.
목적 탐토경로절제안구종류술중수체병적보호책략.방법 회고성분석110례안구종류적림상자료,채용익점입로34례,액저입로21례,광상입로20례,종렬입로35례(액저종렬입로26례,종렬종판입로9례).결과 수체선류47례,전절제42례,수체병완호보류44례,2례부분보류,1례미발현.로인관류38례,전절제32례,수체병완호보류27례,해부보류혹부분보류7례,미발현4례.뇌막류25례,전절제23례,수체병보류24례,1예해부보류.경x2검험종류적성질불동수체병완전보류솔존재차이(P＜0.05).결론 종류적성질직접영향수체병적보류솔,선택흡당적수술입로급한숙적수술기교,대수체병적변인화보호지관중요.
Objective To study the protection strategy of pituitary stalk via transcranial approach for sellar tumors resection.Methods Retrospective analysis of the clinical data of 110 patients with sellar region tumors was performed.Craniotomy was performed via the pterional approach in 34 cases,the subfrontal approach in 21 cases,the supraorbital keyhole approach in 20 cases,the interhemispheric approach in 35 cases (the fronto-basal interhemispheric approach in 26 patients,and the anterior interhemispheric approach through the lamina terminalis in 9 patients).Results In 47 cases with pituitary adenoma,the tumors were totally resection in 42 cases,the pituitary stalks were preserved in 44 cases,partly retained in 2 and not founded in 1.In 38 cases with craniopharyngioma,the tumors were totally removed in 32 cases.The pituitary stalks were preserved in 27 cases,and partly retained in 7 cases and not founded in 4.In 25 patients with Meningioma,the tumors were totally removed in 23 cases,the pituitary stalks were preserved in 24 cases (P ＜ 0.05).Conclusions The nature of tumors directly affect the retention rate of pituitary stalk,so we should choose appropriate surgical approach and skilled microsurgical techniques which play an important role in the identification and protection of pituitary stalk.