垂体腺瘤与眼运动水槽延伸:膜体解剖学和临床应用
Xiao Wu1, Liang Liang2, Bo Wen Wu1
1Department of Neurosurgery, the First Affiliated Hospital of Nanchang University, 17 Yong Wai Zheng Street, Nanchang, China.
Acta neurochirurgica
|September 6, 2023
概括
延伸到眼运动 (OC) 的垂体腺瘤受到持续性疲软和空间的影响. 了解OC解剖学对于安全的内镜内外科手术至关重要.
科学领域:
- 神经外科 神经外科
- 人体解剖学 解剖学 解剖学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 垂体腺瘤 (PAs) 与眼运动 (OC) 延伸是常见的,但它们的解剖学基础是研究不足的.
- 骨干线作为PA的关键生长走廊,影响外科手术方法和结果.
研究的目的:
- 阐明OC的膜状解剖结构作为PA延伸的途径.
- 确定影响PA延伸到OC的解剖学因素.
- 为了将解剖学发现与OC延伸患者的外科治疗结果相关联.
主要方法:
- 在18个标本中,用于研究OC的膜性解剖学的环氧板塑料化技术.
- 追溯分析34名患有延伸到OC的垂体腺瘤的患者.
主要成果:
- 该OC由两个薄膜层组成:一个内部的状层和一个外部的持续层.
- 眼运动神经的移位遵循超侧轨迹,这是由于后面的持续弱点和空间.
- 内动脉和后侧状过程的定位可以缩小OC.
- 在34名患者中,28名 (82%) 通过OC延伸实现了PAs的全切除.
- 在24名患有术前眼运动神经麻的患者中,有16名 (67%) 在术后出现改善.
- 没有报告内动脉损伤或严重的内感染.
结论:
- OC延伸是由后部OC和相邻的潜在空间的持续弱点决定的.
- 对OC膜性解剖学的详细知识对于安全有效的PAs内镜内切除至关重要.
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