摘要
目的 :探讨老年人垂体腺瘤的术式选择与疗效。方法 :回顾性分析 2 4例老年垂体腺瘤显微手术治疗的临床资料 ,其中 15例经蝶窦入路显微手术治疗 ,9例经颅入路显微手术治疗。结果 :本组全切除 15例 ,次全切除 6例 ,大部分切除 3例 ,术后无死亡。术后出现并发症和合并症情况 ,经颅组多于经蝶组。结论 :在严密的围手术期处理下 ,按病情选择合适的术式 ,老年人垂体腺瘤才能获得较好的疗效。而经蝶窦手术有合并症和并发症较少的优点。
Objective:To discuss selecting of operative approach and curative effect of senile pituitary adenomas. Methods: 24 senile cases with pituitary adenomas, which underwent microsurgical treatment, were reviewed. Results: Total resection was achieved in 15 cases, subtotal in 6 cases, partial in 3 cases. No surgical mortality. As to incidences of complication and incorporated disease after operation, transcranial team is more than transsphenoidal team. Conclusions: With tight perioperative management and choosing appropriate operative approach, better curative effect in senile pituitary adenomas could be gotten. And transsphenoidal microsurgery has a virtue of fewer incidences of complication and incorporated disease.
出处
《河北医学》
CAS
2003年第9期781-783,共3页
Hebei Medicine
关键词
经颅
经蝶窦
垂体肿瘤
显微手术
Transcranial
Transsphenoidal
Pituitary adenomas
Microsurgery
