[1]徐成伟,朱宏伟,高乃康,等.142例鞍区占位病变手术治疗总结[J].临床神经外科杂志,2014,(01):51-54.
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142例鞍区占位病变手术治疗总结
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2014年01期
页码:
51-54
栏目:
论著
出版日期:
2014-02-28

文章信息/Info

Title:
A summary of surgical treatment to 142 patients with mass lesion in sellar region
作者:
徐成伟 朱宏伟 高乃康 窦长武
内蒙古医科大学附院神经外科
关键词:
鞍区显微解剖神经内镜导航
Keywords:
Sellar regionMicrosurgeryNeuroendoscopyNavigation
分类号:
R651.1
文献标志码:
A
摘要:
目的 探讨鞍区占位病变手术治疗方案。方法 回顾性分析我科2009年1月至2011年12月收治的142例鞍区占位病变手术治疗的临床资料。结果 术后并发尿崩74例,电解质紊乱45例,高热11例,垂体低功11例,视力恶化4例,上消化道出血5例,脑脊液鼻漏5例,癫痫3例,高血糖2例,颅内血肿2例,死亡7例。大部分病例经8-33月随访。结论 1、选择合适的手术入路,熟悉鞍区显微解剖,合理应用内镜及导航等新技术,能有效减少并发症的发生;2、随着内镜导航技术的发展,导航下内镜辅助经蝶入路或扩大经蝶入路有望成为治疗鞍区占位病变的金标准。
Abstract:
Objective To explore surgical programme of mass lesion in sellar region. Methods The postoperative clinical data of 142 patients with mass lesion in sellar region were analyzed retrospectively from January 2009 to December 2011. Results Of 142 cases,74 cases had diabetes insipidus,45 electrolyte disorder,11 high fever,11 hypopituitarism,4 deterioration of vision and visual field,5 upper digestive tract,5 CSF fitula,,3 epilepsy,2 hyperglycemia,2 intracranial hematoma,3 death.A large part of cases have a follow-up of 8-33 months. Conlusions To select suitable operative approach,to be familiar with microanatomy in sellar region,to apply rationally microsurgery techniques,we can effectively decrease the complications. It will be a gold standard that unilateral navigational endoscopic endonasal transsphenoidal approach in the treatment to sellar lesions.

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[1]惠卫宁.鞍区海绵状血管瘤误诊为侵袭性垂体瘤一例并文献复习[J].临床神经外科杂志,2014,(02):116.
[2]吴昊泽,白茫茫,雷盼,等.鞍区黄色肉芽肿1例报告并文献复习[J].临床神经外科杂志,2018,15(04):311.
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备注/Memo

备注/Memo:
[收稿日期] 2012-10-29
更新日期/Last Update: 2014-02-15