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近代显微外科的经蝶手术提供了安全、快速于中线进入鞍区。与开颅手术径路比较,该手术很少损伤脑、视神经和血管。经蝶入路的主要限制是视野狭窄、深远及可能并发脑脊液鼻漏。过去曾经报告过该入路的优缺点。在大的和侵袭性的腺瘤病例中。因各种原因,有经验的神经外科医师喜欢经蝶或经颅手术。对于大的侵袭性的腺瘤应广泛切除而不考虑入路。可是有些肿瘤的切除不仅经蝶而且经颅经路都是困难的,本文将介绍我们的经验,它可适用
Modern microsurgical transsphenoidal surgery provides safe and rapid access to the saddle in the midline. Compared with the craniotomy, this procedure rarely damages the brain, optic nerves, and blood vessels. The main limitations of transsphenoidal approach are narrow, far-reaching vision and possible concurrent cerebrospinal fluid rhinorrhea. The advantages and disadvantages of this approach have been reported in the past. In large and aggressive adenoma cases. For various reasons, experienced neurosurgeons prefer either transphenoidal or transcranial surgery. For large invasive adenomas, they should be extensively removed without considering the approach. However, the removal of some tumors is not only difficult but also transcranial. This article will introduce our experience and it is applicable.