摘要
目的总结单侧鼻孔(右侧)经蝶入路垂体腺瘤切除术的手术经验及体会.方法对20例垂体腺瘤病人采用经单鼻孔蝶窦入路行显微镜直视下垂体腺瘤切除手术,其中垂体微腺瘤2例,大腺瘤16例,巨大腺瘤2例.结果12例肿瘤获全切,4例大部切除,4例部分切除.所有病人术后内分泌症状均有不同程度改善.术后尿崩症3例,脑脊液鼻漏2例,经治疗出院时均恢复正常.结论此入路有手术距离缩短、损伤小、省时、简单、并发症少等优点.
Objective To summarize the experience of the trans - unilateral nasal and sphenoidal approach to pituitary denomas. Methods 20 cases of pituitary adenomas were removed by the trans - unilateral nasal and sphenoid approach under operating microscope, of which there were 2 microadenoma patients, 16 macroadenoma patients; 2 giant pituitary adenoma patients. Results Of all the 20 patients, 12 had total resection of tumor; 4 had subtotal resection of tumor and 4 had part resection of tumor. All cases showed improvement. After the operation, 3 had diabetes insipidus and 2 had CSF rhinorrhea, which had been cured by the time they left the hospital. Conclusion this method is minimally invasive with short operative distance, time and fewer complications.
出处
《昆明医学院学报》
2006年第2期45-47,共3页
Journal of Kunming Medical College
关键词
垂体腺瘤
经鼻经蝶外科手术
颅底
Pituitary adenoma
Transnasal and transsphenoidal approach
Basis cranii
