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目的 介绍经眉切口眶顶入路切除垂体瘤的技术和经验。 方法 9例病人采用经眉切口眶顶入路切除。 结果 全切肿瘤8例,次全切除肿瘤1例。 术后病人症状缓解,恢复正常生活工作。 结论 采用经眉切口眶顶入路可以提供足够的手术空间显露鞍区占位病变,减少术中脑压板的使用,避免了对脑组织的压迫。手术创伤小,病人恢复快。
Objective To introduce the technique and experience of transcervical incision for the removal of pituitary tumors. Methods Nine patients underwent transcervical incision and dome resection. Results Totally 8 tumors were resected and 1 tumor was subtotally removed. After the patient’s symptoms relieved, he resumed normal life and work. Conclusion Transthoracic incision palatal approach can provide enough surgical space to reveal saddle area lesions, reduce the use of intraoperative brain pressure plate, and avoid compression of brain tissue. The surgical trauma is small and the patient recovers quickly.