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Application of superaorbital keyhole approach in treating tumor or aneurysm at the sellaturica
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROMEDICINE
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.1671-8925.2003.02.004
- Key Word:
- 眶上锁孔入路;蝶鞍区;显微神经外科
Abstract： 目的总结眶上锁孔入路在治疗鞍上区病变中的应用结果与经验.方法分析1999年1月至2001年12月由眶上锁孔入路治疗的28例鞍上区病变患者的病变情况、手术经过及术后处理等过程.结果本组18例肿瘤患者中,全切除13例,次全切除5例;10例动脉瘤均成功施行夹闭术.随访4～30个月,术前9例有视力、视野改变者,6例明显改善,2例好转,1例无变化.内分泌改变的8例中,有5例恢复正常,3例改善.术后有3例发生尿崩,经药物治疗2周后痊愈.结论眶上锁孔入路切口小,但足以显露鞍区病变及其邻近结构,且减少了脑组织暴露和手术创伤,是处理鞍上区病灶的理想手术入路之一.病灶主体位于鞍上区与周围组织粘连不太紧密的肿瘤或者前循环动脉瘤可作为该入路的适应症.
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