经单鼻孔鼻中隔蝶窦入路切除垂体腺瘤  

Mononostril-septum-transsphenoidal approach for pituitary adenoma

作　　者：刘志雄[1] 袁贤瑞[1] 方加胜[1] 黄军[1] 李玉斌[1] 罗超[1] 杨治权[1] 刘运生[1] 

机构地区：[1]中南大学湘雅医院神经外科,长沙410008

出　　处：《中南大学学报（医学版）》2006年第2期281-283,共3页Journal of Central South University ：Medical Science

摘　　要：目的:总结经单鼻孔鼻中隔蝶窦入路切除垂体腺瘤的手术经验及疗效。方法:回顾性分析3 6例垂体腺瘤患者的临床表现及手术方法和经验。结果:肿瘤全切除2 8例,次全切除6例,部分切除2例。术后视力及视野改善者3 0例,内分泌指标恢复正常者3 1例。脑脊液鼻漏1例,两周后治愈。本组无死亡病例,无颅内出血等其他并发症。结论:经单鼻孔鼻中隔蝶窦入路可充分利用鼻腔的自然间隙,入路直接,手术时间短,创伤小,并发症少,是较理想的经蝶手术术式。Objective tuitary adenoma. Methods with pituitary adenoma were To summarize the mononostril-septum-transsphenoidal approach for pi- The clinical features, operative techniques, and outcome of 36 patients analyzed retrospectively. Results Tumors were totally removed in 28 cases, and subtotally resected in 8 patients. No patient died after the operation. Endocrine symptom of 31 patients returned to the normal level, the symptom of the other 5 cases were improved. Thirty patients with visual field defects recovered after the operation. Cerebrospinal fluid leakage occurred in one patient, and was cured with conservative treatment in 2 weeks. Conclusion Mononostril-septum-transsphenoidal approach can make use of the natural space of the nasal cavity, which has many advantages, such as direct approach, short operative time, minimal invasion, and few complications. It is a effective transsphenoidal surgical approach.

关 键 词：垂体腺瘤 经蝶入路 手术 

分 类 号：R736.4[医药卫生—肿瘤]