经眉弓处锁孔入路切除鞍区肿瘤的手术配合

目的探讨经眉弓锁孔入路手术切除鞍区肿瘤的术中配合。方法回顾性总结35例经眉弓处锁孔入路手术切除鞍区肿瘤临床资料和护理经验,做好术前物品准备、患者准备,加强术中医护之间的配合。结果肿瘤全切31例;2例颅咽管瘤后部与下丘脑粘连紧密未强行切除,残留部分肿瘤包膜;1例颅咽管瘤与垂体柄关系密切,残余少量肿瘤组织;1例鞍隔脑膜瘤鞍隔下向鞍内生长部分未能全切。结论经眉弓处锁孔入路切除鞍区肿瘤具有创伤轻、手术空间大、切口美观等优点,手术效果满意。

COORDINATION IN RESECTION OF SELLAR TUMORS THROUGH SUPERCILIARY ARCH CLAVICULAR HOLE

Objective To explore the coordination in the resection of sellar tumors through superciliary arch clavicular hole.Methods To retrospectively summarize the resections of 35 cases of sellar tumor through superciliary arch clavicular hole and nursing experieme.Results 31 cases received total resection.Tumor membrane was partly reserved in 2 cases due to the cohesion of the posterior part of craniopharyngioma and hypothalamus.A small number of tumor tissues remained in one case because of the close linking of craniopharyngioma and hypophysis.Partial resection was performed in one case of sellar meningoma because the tumor grew inwards.Conclusion This kind of surgery can result in less trauma with incisions healing well.