摘要
目的:探讨神经导航在经鼻蝶入路垂体瘤显微切除术中的应用价值。方法:对56例垂体瘤患者采用神经导航辅助显微镜下经鼻蝶入路垂体瘤切除术进行治疗,观察治疗效果、手术前后相关激素水平变化及术后并发症情况,分析神经导航的优势,总结临床经验。结果:肿瘤的全切率为78.6%,术后功能性腺瘤的激素水平下降有效率为70.9%,泌乳素腺瘤及生长激素腺瘤患者的相应激素水平显著降低,无偏瘫、昏迷、死亡等严重并发症。结论:神经导航的使用有助于术中精确定位、缩短手术时间、提高肿瘤全切率、减少手术并发症,有很高的临床应用价值。
Objective ：To explore the application value of nerve navigation in microsurgery of pituitary tumor via transnasal transs- phenoidal approach. Methods ：56 cases of pituitary adenoma were treated by nerve navigation AIDS microscope nasal adjustment ap- proach for treatment of pituitary adenoma resection. The treatment effect, related hormone level changes before and after surgery and the postoperative complications were observed, the advantages of neuralnavigation were analyzed, and clinical experience was summarized. Results ： The total tumor resection rate was 78.6% , the effective rate in the drop of hormone level of functional neoplasia was 70.9% , and the relevant hormone level of prolactin adenomain and growth hormone adenoma patients was significantly reduced. There was no hemiplegia, coma, death or other serious complications. Conclusion：The application of neural navigation is highly valuable in clinical practice which can help to pinpoint the location of tumors, shorten the operation time, improve the rate of total tumor resection and re- duce the complications of surgery.
作者
李小绪
张少军
LI Xiao-xu;ZHANG Shao-jun(Department of Neurosurgery,The First Affiliated Hospital of Bengbu Medical College,Bengbu 233004.China)
出处
《淮海医药》
CAS
2018年第5期527-530,共4页
Journal of Huaihai Medicine
关键词
垂体肿瘤
神经导航
经鼻蝶入路
Pituitary tumor
Neuronavigation
Via transnasal transsphenoidal approach
