摘要
目的 探讨巨大型垂体腺瘤切除手术中的垂体柄保护。方法 采用经纵裂蝶窦入路显微手术切除巨大型垂体腺瘤 5 2例。结果 肿瘤全切除 39例 (75 % )。垂体柄保留 34例 (6 5 % )。术后发生尿崩 32例 (6 2 % ) ,其中 2 3例在术后 1～ 2周内恢复正常 ,占术后尿崩总数的 72 % ;7例在 3个月内恢复 ;2例尿崩症状持续 1年以上。结论 垂体腺瘤手术中的垂体柄保留可有效降低术后尿崩症 ,特别是永久性尿崩症的发生 。
Objective To discuss the protection of pituitary stalk in the microsurgical removal of gaint pituitary adenomas.Methods 52 cases were treated by the interhemisphericapproach.Results Total removal of the tumor were got in 39 cases(75%).The pituitary stalks were reserved in 34 cases (65%). After the operation 32 cases suffered from diabetes insipidus(62%).Among these 32 patients,23 cases recovered in 1 to 2 weeks after operation (72%),7 cases recovered in 3 monthes. Diabetes insipidus continued over 1 year in 2 cases.Conclusions Reserving the pituitary stalk in the microsurgical removal of gaint pituitary adenomas could reduce the incideuce of postoperative diabetes insipidus,especially reduce the permanent diabetes insipidus. It is the key point to improve the operative effect.
出处
《中华神经外科杂志》
CSCD
北大核心
2002年第5期313-315,共3页
Chinese Journal of Neurosurgery
关键词
垂体腺瘤
垂体柄
显微手术
肿瘤切除术
Pituitary adenoma Pituitary stalk Microsurgical technique
