摘要
目的总结内镜辅助下经蝶窦人路切除垂体瘤的手术体会。方法回顾性分析经蝶窦入路显微手术切除的40例垂体瘤的临床资料。结果内镜下肿瘤全切除或近全切除28例(70%),大部分切除8例(20%),部分切除4例(10%)。术后视力均改善;并发尿崩21例,多数2~3周内恢复;并发脑脊液鼻漏2例。结论经蝶窦入路显微切除垂体瘤手术,肿瘤全切除率高,视力改善明显,并发症少。
Objective To summarize the clinical characterize and operation comprehension of 40 cases with transsphenoidal approach excise for pituit-ary adenoma by endoscope.Methods 40 patients of transsphenoida1 approach excise for pituitary adenoma were analyzed retrospectively.Results Twenty-eight cases(70%)were total resection pituitary adenoma under microscope,eight cases(20%)were mainly partial resection,four cases(10%)were partial resection.All sight of the patients made progress.Cerebrospinal fluid rhinorrhea in two cases and polyuria in twenty-one cases.Conclusion Transsphenoidal approach excise for pituitary adenoma is highly total resec-tion rates,effectly in sight progress,few complication.
出处
《四川医学》
CAS
2011年第8期1189-1190,共2页
Sichuan Medical Journal
关键词
垂体瘤
经蝶窦入路
内镜辅助
pituitary adenoma
transsphenoidal approach excise
endoscope