摘要
目的 :了解鼻内镜技术用于经蝶窦入路切除垂体大腺瘤的可行性。方法 :对 13例垂体大腺瘤患者采用鼻内镜下经鼻腔 蝶窦入路切除术式。结果 :肿瘤全切除 9例 (6 9.2 % ) ,大部切除 3例 (2 3.1% ) ,手术失败 1例 (7.7% )。术后 1周内视力、视野明显改善 10例 (76 .9% ) ,其中 7例接近或完全恢复正常。除 2例短暂脑脊液漏外 ,无其他严重并发症及死亡病例发生。结论 :鼻内镜用于经鼻腔 蝶窦入路切除垂体大腺瘤可获得满意的临床效果 ,但应注意避免术中出血、解剖变异、鞍旁组织向鞍内膨出、复发性垂体大腺瘤及术后不适当的瘤腔处理对鼻内镜手术操作及疗效的影响。
Objective:To investigate the feasibility of transnasal and transsphenoidal surgery for giant pituitary adenomas with nasoendoscope.Method:The giant pituitary adenomas were resected by the transnasal and transsphenoidal surgery with nasoendoscope in 13 patients.Result:The tumors were totally resected in 9 cases ( 69.2 %) ,subtotally in 3 cases( 23.1 %) and the resection failed in 1 ( 7.7 %). Vision and visual field were significantly improved in 10 patients ( 76.9 %) one week after the operations, of whom 7 had nearly or completely normal vision and visual field. There were no sevious complications or death except transient cerebro spinal fluid leakage in 2 patients.Conclusion:It should be noted that the operative manipulation and curative effect of nasoendoscopic surgery on the giant pituitary adenomas may be affected by some factors such as the hemorrhage during the operation, anatomical abormality, parasellar tissue progecting into the sella, postoperative improper treatment and so on.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2004年第8期463-465,共3页
Journal of Clinical Otorhinolaryngology
关键词
垂体肿瘤
鼻内镜
鼻腔蝶窦入路
Pituitary neoplasm
Nasoendoscope
Transnasal and transsphenoidal approach
