Comparison of the infratentorial and transtentorial approaches to the pineal region.
Comparison of the infratentorial and transtentorial approaches to the pineal region.
复制标题
幕下和经幕后入路松果体区的比较。
DOI：
10.1227/00006123-197807000-00001
复制
发表时间：
1978
期刊：
影响因子：
4.8
通讯作者：
W. Clark
中科院分区：
文献类型：
--
作者：
W. S. Reid;W. Clark
在过去的10年中，两种不同的手术入路松果体区已建议由不同的作者。文献中出现了许多报告，表明这两种技术中的一种或另一种可以安全地用于切除松果体区域的肿块。本文报告了经验，这两种技术在治疗15例肿块病变在这方面。4例患者接受了小脑上幕下入路，11例患者接受了枕骨经小脑幕入路至松果体区。从解剖暴露、技术难度和真实的或潜在的并发症等方面对这两种入路进行比较。对于松果体区的病变，作者倾向于枕部经小脑幕入路。
During the past 10 years, two different operative approaches to the pineal region have been recommended by different authors. Numerous reports have appeared in the literature, indicating the safe use of one or the other of these two techniques for the excision of masses in the pineal region. This paper reports experience with both techniques in the treatment of 15 patients with mass lesions in this area. Four patients underwent a supracerebellar infratentorial approach and 11 patients underwent an occipital transtentorial approach to the pineal region. These two approaches are compared in terms of anatomical exposure, technical difficulties, and real or potential complications. The authors prefer the occipital transtentorial approach in dealing with lesions in the pineal region.