| 眶上锁孔入路显微手术切除鞍区大型和巨大型肿瘤 |
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| 引用本文： | 雷鹏,田立桩,王钰,荔志云,张玉.眶上锁孔入路显微手术切除鞍区大型和巨大型肿瘤[J].中国微侵袭神经外科杂志,2004,9(12):542-543. |
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| 作者姓名： | 雷鹏 田立桩 王钰 荔志云 张玉 |
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| 作者单位： | 中国人民解放军兰州军区兰州总医院神经外科,甘肃,兰州,730050 |
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| 摘 要： | 目的探讨经眶上锁孔显微手术切除鞍区大型、巨大型肿瘤的手术方法和技巧.方法对31例大型、巨大型鞍区肿瘤采用该法实施手术,其中垂体瘤17例,脑膜瘤5例,颅咽管瘤7例,其他2例.结果大部或部分切除5例,残余瘤体给予放疗.本组无死亡.随访4个月～2.2年,2例肿瘤复发.结论采用锁孔显微手术能够切除鞍区大型、巨大型肿瘤,效果良好,并发症少.
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| 关 键 词： | 锁孔手术 鞍区 垂体瘤 脑膜瘤 颅咽管瘤 |
| 文章编号： | 1009-122X(2004)12-0542-02 |
| 修稿时间： | 2004年8月4日 |
Trans-supraorbital keyhole approach microsurgery for treatment of large and huge tumors in the sellar region |
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| LEI Peng,TIAN Lizhuang,WANG Yu,et al.Trans-supraorbital keyhole approach microsurgery for treatment of large and huge tumors in the sellar region[J].Chinese Journal of Minimally Invasive Neurosurgery,2004,9(12):542-543. |
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| Authors: | LEI Peng TIAN Lizhuang WANG Yu |
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| Institution: | LEI Peng,TIAN Lizhuang,WANG Yu,et alDepartment of Neurosurgery,Lanzhou General Hospital of Lanzhou Military Command of PLA,Lanzhou 730050,China |
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| Abstract: | Objective To explore the trans-supraorbital keyhole approach microsurgical technique for treatment of the large or huge tumors in the sellar region. Methods In 32 patients who had undergone the trans-supraorbital keyhole approach microsurgery, 17 (53.1%) suffered from pituitary adenoma, 5 (15.6%) meningiomas, 7(21.9%) craniopharyngioma and 3 (9.4%) other diseases. Results 27 (84.4%) patients had total tumor removal, and 5 had subtotal or partial tumor removal with incomplete tumor following radiotherapy. The patients were followed-up for 4 months to 2.2 years without death occurred and tumor regrowth was found in 2 cases. Conclusion Trans-supraorbital keyhole approach microsurgery for treatment of large and huge tumors in the sellar region can provide stable curative effect with less complication. |
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| Keywords: | keyhole approach sellar region pituitary adenoma meningioma craniopharyngioma |
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