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目的:探讨在腰穿控制ICP后侵袭性垂体腺瘤手术入路及切除方法,以及并发症的处理。方法:采用改良冠状开颅。经前纵裂入路。结果:本组53例,全切除39例,次全切9例,大部切5例。死亡4例。全切除率73.6%。结论:该方法显露蝶鞍、鞍上、鞍旁及鞍后充分,是切除侵袭性垂体腺瘤、尤其向鞍上发展的垂体腺瘤的有效方法。
OBJECTIVE: To investigate the surgical approaches and surgical approaches for the treatment of invasive pituitary adenomas after lumbar puncture and control of ICP, as well as the treatment of complications. Methods: Modified coronal craniotomy. Longitudinal cracks through the road. Results: The group of 53 cases, 39 cases of total resection, subtotal cut in 9 cases, subtotal in 5 cases. 4 died. The total resection rate was 73.6%. CONCLUSION: This method shows that sella, suprasellar, parasellar and posterior sulcus are sufficient, which is an effective method for excision of invasive pituitary adenoma, especially to pituitary adenomas developed in the saddle.