翼点入路切除鞍区肿瘤的体会(附119例报告)

背景与目的：鞍区肿瘤较为常见,且近年来采用翼点入路手术逐渐增多,本文结合我们的临床经验,探讨翼点入路切除靶区肿瘤的方法。方法：本组119例鞍区肿瘤,术前根据CT、MRI及脑血管造影,确定肿瘤与周围的关系,经翼点入路手术,采用显微外科技术,经4个不同的间隙切除肿瘤。结果：72例全切,36例近全切,11例大部切除。近期明显好转85例,改善24例,无变化8例,死亡2你,半年以上随访92你,能正常工作（或学习）61例,能做轻工作等15例,生活自理9例,生活不能自理6例,死于心脏病1例。结论：采用翼点入路多能满足靶区不同类型鞍区肿瘤的显露,能提高肿瘤全切率及治愈率。

Clinical study on the removal of sellar region tumors by pterional approach (report of 119 cases)

Background & Objective:Sellar region tumors are common intracranial tumor. This study was designed to investigate the methods of the removal of tumors in sellar region by pterional approach. Methods:A total of 119 cases with sellar region tumors were performed operation. Before the operation, the relationships between the tumors and their periphery were determined according to CT, MR and the cerebral angiography and then the tumors were removed by pterional approach microsurgery in 4 different spaces. Results:The number of the patients treated with total, subtoal,and partial resection were 72, 36,and 11,respectively; with 85 cases significantly improved, 24 getting better, 8 without changes and 2 dead. Follow up half a year,92 cases were survival in the half a year of follow up,in which 61 cases were able to work with normal life,15 could do light work,9 could take care of themselves but 6 patients were disabled,and 1 died of heart disease. Conclusion:Pterional approach can be used to remove many kinds of tumors in sellar region and with better exploration, therefore, increase the total removal and cure rate of such tumors.