340例垂体腺瘤显微手术治疗的经验  

The experience of microsurgical treatment for 340 patients with pituitary adenomas

作　　者：薛洪利[1] 孔令权[1] 周怀伟[1] 梁国标[1] 王强[1] 孙荣军[1] 许再华[1] 何绍贵[2] 王翚[3] 

机构地区：[1]沈阳军区总医院神经外科,沈阳110015 [2]沈阳军区总医院内分泌科,沈阳110015 [3]解放军第304医院神经外科,北京100037

出　　处：《中国微侵袭神经外科杂志》1997年第4期262-264,309-310,共5页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的:为了总结垂体腺瘤显微手术治疗的经验,回顾性分析了10年来施行手术的340例病例。方法:234例经颅切除肿瘤,106例经蝶切除肿瘤。结果:经颅手术术后无一例复发,手术死亡2例(0.8％):经蝶切除肿瘤者。术后复发3例(2.8％),其中2例经开顿切除肿瘤,1例放疗治愈,手术死亡2例(1.9％)。结论:作者认为,经项切除肿瘤术野宽阔,有利于肿瘤全切:经蝶入路损伤小,但术野狭小,适合于鞍内肿瘤及年老体弱者。A retrospective analysis of 340 patients with pituitary adenomas treated by microsurgery during the last 10 years. Method: The tumors of 234 patients were resected via tran-scranial approach and 106 patients were done via transsphenoidal approach. Result: No recurrence of tumor has been found with transcranial approach, and the operative mortality was 0.8%. Tumor recurrence in 3 cases with transsphenoidal approach, and the operative mortality was 1.9%. Conclusion: The transcranial approach for removing pituitary tumors has following advantages: the operative field is wider, and easy to remove the tumor totally. The transsphenoidal approach may be of more minimal operative injury, but the operative field is narrow, so it is only suitable for the removal of intrasellar tumor, and for patients who were in poor condition.

关 键 词：垂体腺瘤 显微手术 手术径路 

分 类 号：R736.4[医药卫生—肿瘤]