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To explore the method of sphenoid sinus and trans-sphenoid surgery by a direct hemi-nasal approach.

目的探讨经单侧鼻腔直接入路行蝶窦及经蝶鞍区微创手术的方法。

Results The distance from the anterior naris to the anterior wall of the sphenoid sinus was (65.36±3.58) mm and that to the bottom of the hypophyseal fossa was (79.18±3.71) mm.

结果 前鼻孔到蝶窦前壁的距离(65.36±3.58)mm;前鼻孔到蝶鞍底部的距离(79.18±3.71)mm;鼻后孔弓到颅底的距离(21.18±4.31)mm;后鼻孔弓到蝶窦开口的距离(13.22±3.36)mm。

Hypothalamic-pituitary functions in eight children with intrasellar and suprasellar tumors (five craniopharyngioma, one epidermoid cyst, one germinoma, one pituitary adenoma) were studied before and after surgical treatment. Three children who received endocrine function assessment before operation showed at least one hormone deficiency.

本文收集8例患有蝶鞍内或蝶鞍上方肿瘤的病童,分析手术前或手术后的下视丘一脑垂腺机能,所有於手术前接受下视丘一脑垂腺机能评估的病童,皆至少有一个荷尔蒙分泌异常,其中以生长激素及促性腺激素的异常最常见。

This is not seen in other masses involving the sella.

这在累及蝶鞍的其他肿瘤中是看不到的。

Purpose: To propose CT diagnostic criteria of empty sella.

目的:提出空泡蝶鞍的CT诊断要点。

Purpose The Purpose of this study is to demonstrate themorphological changes of pituitary and sella in the patients with idiopathic intracranial hypertension.

目的对原发性高颅压病人的垂体和蝶鞍的形态进行研究。

SETTING: The records of all patients with a diagnosis of empty sella between 1985 and 2002 seen at the Catholic University of Rome and University of Brescia were examined retrospectively.

设置:回顾了所有在1985年至2002年间于罗马教会大学和BresCia大学诊断为空蝶鞍的患者记录。

The thickness of the inner wall was (0.68±0.46) mm. It showed no significant difference between the two sides of the optic canal in diameters(P>0.05).(2)The optic canal, the superior orbital fissure and the inferior orbital fissure were respectively shown as track, crack and gorge type in CT axial pictures, while in the coronal pictures, they were respectively shown as butterfly eyes, horizontal fissure and vertical fissure type.(3)The relationship of the posterior ethmoid sinus and the optic canal was: anterocanal(42.00%), semicanal(27.5%), whole-canal(18.75%),sella turcica(9.75%) and circumcanal(2.00%).(4)The relationship of the position of the sphenoidal sinus and the optic canal was:Ι degree sphenoidal sinus(20%),Π degree (63%) and Ш degree (17%).

双侧间差异均无显著性(P>0.05);②视神经管、眶上裂、眶下裂在CT轴位像上分别表现为&轨道状&、&裂隙状&和&狭谷状&,在冠状位像上分别表现为&蝶眼状&、水平状裂隙和垂直状裂隙;③后组筛窦与视神经管的位置关系为:管前型占42.00%、半管型占27.50%、全管型占18.75%、蝶鞍型占9.75%和管周型占2.00%;④蝶窦气化度与视神经管的位置关系为:Ι度蝶窦占20%、Π度蝶窦占63%和Ш度蝶窦占17%;⑤视神经管内侧壁骨质缺损发生率为25.5%,缺损平均长度为(5.07±2.52)mm。

This article summarizes our experience on 1047 patients and discusses some relevant problems, including the diagnostic standards of adenoma size, surgery indications, the apoplexy operation, the re-operation for recurrent cases, management of complications, post-operation radiotherapy, and the anatomy of sphenoidal sinus and sellar area, hoping to improve the successful rate of the operation.

本文分析1047例患者的临床资料,总结临床经验,对与手术相关的一些问题(如垂体腺瘤的大小诊断标准、手术适应证、垂体卒中的经蝶手术、复发性垂体瘤再次经蝶手术、术后并发症的处理、术后放疗以及蝶鞍区重要解剖结构等)进行探讨,以提高手术成功率和疾病的治愈率。

The distance from the inforior pole sphenoidal sinus aperture to the sphenopalatine foramen was (12.20±1.10,8.10-16.35) mm.

蝶窦口是经蝶窦蝶鞍区手术的重要标志;开放蝶窦时宜从蝶窦口内下方开放,以免损伤蝶胯动脉。

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