【作者】 廖晓灵； 黄光富；

【Author】 LIAO Xiaoling,HUANG Guangfu Department of Neurosurgery,Sichuan Provincial Peoples’Hospital,Chengdu,610072,China

【机构】 四川省人民医院神经外科；

【摘要】 目的提高经鼻蝶鞍区病变手术的安全性。方法回顾性分析经鼻蝶显微手术切除的196例鞍区病变的临床资料,结合文献加以讨论。结果病变全切168例,次全切26例,2例未切除。术后永久性尿崩2例,术后出血3例,脑脊液漏21例,脑膜炎8例。视力障碍加重5例。本组死亡5例(2.55%)。结论术前准确的诊断、影像学资料的详细分析,术中神经导航的辅助和娴熟的显微手术技术的应用,术后并发症的积极控制可以大大提高经鼻蝶鞍区病变手术安全性。更多还原

【Abstract】 Objective To further improve the surgical effect of sella region focus.Methods Clinical data of 196 patients undergoing transsphenoidal procedures for sellar region focus,and the literatures were reviewed to evaluate the security and management Rusults 168 cases were total removed,26 cases wre subtotal removed,2 cases can not be rmoved.After surgery,homorrhagic complication occurred in 8 cases,permanent diabetes insipidus in 2 cases,cerebrospinal fluid rhinorrhea in 21 cases,meningitis in 8 cases.visual disorder aggravation in 5 cases.The mortality of the group was 2.55%(5 cases).Conclusion The clinical data was analyzed carefully,the application of neuronavigation and microsurgical skill,and treatment of complications could further improve the surgical safety of sellar region focus.更多还原