摘要
目的 探讨经眉弓眶上“锁眼”入路对切除鞍区病变的临床应用价值。方法 术前常规行MRI扫描和三维重建,经过周密设计和策划,采用经眉弓眶上“锁眼”开颅方法对鞍区占位13例实施微创手术。结果 本组患者都较快康复,12例鞍区占位病人视力明显改善,1例视力下降,但未发生与“锁眼”入路相关的手术并发症。结论 经眉弓眶上“锁眼”手术完全可以满足鞍区病变的手术操作。“锁眼”手术具有损伤小,并发症少,恢复快等优点,是神经外科由传统手术向微创手术迈进的又一个标志,是现代神经外科手术的新模式。
Objective To discuss the clinical value of a craniotomy via supraorbital keyhole approach for sella area tumor in neurosurgery. Methods In this study, 13 cases were checked with MR1 and three -dimension reconstruction thoroughly, then operated via supraorbital keyhole approach, including 12 cases of pituitary tumors, 1 craniopharyngiomas. Results All of the patients have recovered very well and have no complications in relation to the keyhole approach, as well as their sights have improved in 12 cases. Conclusions The craniotomy via supraorbital keyhole approach is completely satisfied in the resection of sella area tumors, it has many advantages over conventional operations including fewer exposure, micro-impairment, fewer complications and faster recovery. It is a new mark in neurosurgery from traditional operation to micro-impairment, and will be a new operation pattern in the modern neurosurgery.
出处
《神经疾病与精神卫生》
2003年第5期360-362,共3页
Journal of Neuroscience and Mental Health
