经眶上翼点入路显微手术切除巨大鞍区肿瘤

目的 总结经眶上翼点入路显微手术切巨大鞍区肿瘤的经验。方法 经上翼点入路显微手术切除巨大鞍区肿瘤18例，其中垂体腺瘤7例，颅咽管瘤8例，生殖细胞瘤、脑膜瘤、成熟性畸胎瘤各1例。结果 肿瘤全切除12例，次全切除6例。术后随访4－23个月，恢复良好12例，生活自理3例，生活需人照顾2例，死亡1例。结论 眶上翼点入路能很好地显露鞍区 肿瘤及其周围结构，显微手术是安全切除肿瘤、保护下丘脑功能的关键。

Microsurgery for giant sellar region tumors via supraorbital pterional approach

Objective To present the experience of microsurgery for giant sellar region tumor via supraorbital pterional approach Methods Eighteen patients with giant sellar region tumor were treated microsurgically,There were 7 pituitary adenomas,8 craniopharyngiomas,1 germinoma,1 meningioma and 1 teratoma Results Tumor was totally removed in 12 cases,subtotally removed in 6 The patients were followed up with a period of 4 to 23 months,good recovery was achieved in 12 cases,moderate in 3,severe deficit in 1,l patient died 16 days after operation Conclusion Supraorbital pterional approach offers an excellent expposure to sellar region tumor and its surrounding structures.Microsurgical techniques play a great role in tumor removing and preserving hypothalamic function during operation