鞍

Six cases were malignant, including 2 malignant neuroendocrinoma in sphenoidal sinus, 1 adenoidocystic carcinoma, 1 sphenoidal sinus low differentiated carcinoma, 1 nasopharyngeal carcinoma extending into sella, 1 lung cancer metastasis to sphenoidal sinus.

恶性肿瘤6例，分别为蝶窦神经内分泌肿瘤2例，腺样囊腺癌1例，蝶窦低分化癌1例，鼻咽癌侵犯鞍区及肺癌蝶窦转移各1例。

①Headache at different levels was the commonest symptom for benign and malignant lesions. The visual loss was another common symptom. It is important to realize the relationship between visual symptom and space-occupied lessions in sphenoidal sinus and sellar area;②Imaging study is very important for the diagnosis of the lesions in sphenoidal sinus and sellar area;③It is helpful to do needle-aspirating biopsy under endoscopy to confirm the pathologic diagnosis.

①良恶性病变均以头痛为第一常见症状，眼部症状为第二常见症状，掌握眼部症状与蝶鞍占位的关系对及早诊断意义重大；②影像学检查对此区域病变的发现和诊断起着重要作用；③内窥镜的应用及镜下穿刺活检亦对诊断十分有帮助。

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。

Results:77.5% of sphenoid ostia can be identified by endoscope directly.The distances from sphenoid ostia to the superior and lateral wall of sphenoid sinus,the foramen of sphenopalatine artery,the anterior wall of sella,posterior nasal septum and nasal column were 9.6±4.1 mm,9.2±1.8 mm,11.1±1.6 mm,14.7±3.6 mm,3.6±0.5 mm and 61.6±3.7 mm respectively.

结果：77.5%的蝶窦口内窥镜直接窥见，窦口距离蝶窦顶壁、外壁、蝶腭动脉孔、鞍前壁、鼻中隔后端分别为8.6±3.1 mm、9.2±1.8 mm、11.1±1.6 mm、14.7±3.6 mm、3.6±0.5 mm，距离鼻小柱根部前缘61.6±3.7 mm，与鼻底夹角31.8°±5.2°。

Treatment:①medicine therapy: cabamazepine, large dose of vitamine B12, phenytoin sodium;②nerve blocking or surgery:③stereotactically controlled thermocogulatin of trigeminal roots using a radio-frequency generator; microvascular decompression

与症状性三叉神经痛相鉴别。4，治疗：①药物：卡马西平，B12，鞍莫钠；②封闭：无水酒精注射；③射频热凝；④手术治疗，首选药物为卡马西平

Methods: The bone structures in middle cranial fossa of 22 adult cadaveric heads were dissected in detail, and the distances to this region in subfrontal and pterional approaches were compared.

对22例成人尸头标本鞍区及颅中窝底骨性结构进行解剖学观察，比较翼点入路和额下入路到该区的解剖距离。

Results:The shortest distance from subfrontal approach to the bone structures in sellar areas was 45.63 ± 0.78(38.02 - 52.50)mm, and the farthest ...

结果：额下入路到鞍区的解剖距离最近是(45.63±0.78)mm(38.02~52.50mm)和(73.10±0.56)mm(65.24~82.56mm)，而翼点入路分别为(34.75±0.81)mm(24.08~50.58mm)和(67.99±0.68)mm(60.16~75.60mm)。

Objective To evaluate the technique and effect of supraorbital keyhole approach for removing tuberculum sellae meningiomas.

目的 评价眶上匙孔入路切除小型鞍结节脑膜瘤的技术和效果。

Objective To evaluate the technique and effect of supraorbital keyhole approach for removing tuberculum sellae meningiomas.

目的 评价眶上匙孔入路切除小型鞍结节脑膜痛的技术和效果。

Methods An analysis of 15 patients with tuberculum sellae meningiomas removed by supraorbital keyhole approach from January 2003 to December 2005 was made.

方法分析我科2003年1月～2005年12月，经眶上匙孔入路切除鞍结节脑膜瘤15例，有限的眶上开颅宽25～30mm，高15～20mm，讨论肿瘤的大小、手术技巧、手术结果和并发症。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失