摘要
经筛窦垂体瘤显微手术135例,无死亡.5例并发脑脊液漏.经对症处理2周后愈合2例,另3例由原切口进入填塞肌肉治愈.术后随访6～54个月.多数病人原症状明显减轻或消失.筛窦入路较鼻中隔入路途径可缩短1/3:因进路呈漏斗状.视野宽敞;术毕毋需填塞鼻腔,病人感到舒适.其手术适应证与效果与经鼻中隔入路法相同.唯一缺点是面部遗有一小切口瘢痕、但采用皮内连续缝合法,数月后即可近于消失.
Transethmoido-sphenoidal removal ofpituitary tumors was performed in a series of 135cases. Postoperative CSF rhinorrhea was foundin 5 patients,2 of them recovered spontaneouslyand 3 of them were recovered by subsequent surgical treatment through the initial approach. Themajority of patients have complete or incompleterecovery with following-up period of 6~54months. There was no operative mortality in thisseries. The depth of transethmoido-sphenoidalapproach is 1/3 shorter than that of transnaso-sphenoidal approach, and the passage oftransethmoido-sphenoidal approach would formin a funnel shape,which made the operative pro-cedure more easy and the patients more comfort-able after operation. The indications and resultswere similar to the transnaso-sphenoidal ap-proach. The only troublesome was a short scarremained on the face, but it could be improvedsignificantly by means of intradermal suture.
