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目的 报告２０ 例鞍区肿瘤采用额下经蝶入路显微手术的体会， 确立一种手术方法，评价其利弊。方法 额部骨瓣开颅后， 先切除肿瘤的鞍上部分， 而后磨除鞍结节、蝶骨平台及蝶鞍前壁骨质， 显露并切除鞍内及蝶窦内肿瘤。结果 全切１８ 例， 近全切除２ 例。脑脊液鼻漏３ 例， 无颅内感染及死亡。结论 该入路适于一期手术全切除鞍内及鞍上的肿瘤， 尤其适于肿瘤侵入蝶窦内并且合并视交叉前置的患者， 值得重视和推广。
Objective To report the experience of 20 patients with sellar area tumors undergoing transsphenoidal microsurgery and establish a surgical method to evaluate the advantages and disadvantages. Methods After craniectomy craniotomy, first remove the upper part of the saddle of the tumor, and then remove the saddle nodules, sphenoid platform and the anterior wall of the sella, expose and remove the intra-sella and sphenoid sinus tumors. Results 18 cases of complete resection, nearly complete resection in 2 cases. Cerebrospinal rhinorrhea in 3 cases, no intracranial infection and death. Conclusion The approach is suitable for the first stage of total resection of the tumor in the saddle and the saddle. It is especially suitable for the patients with tumor invasion of the sphenoid sinus and the anterior optic chiasm. It is worthy of attention and promotion.