老年人巨大型垂体腺瘤的诊断与显微外科治疗  

Diagnosis and Microsurgical Treatment of Giant Pituitary Adenomas in Old Patients

作　　者：王业忠[1] 赵冬[1] 刘祺[1] 姬云翔[1] 赵博熙[1] 许晖[1] 李令建[1] 戴晶[1] 任志文[1] 高杰善[1] 

机构地区：[1]石河子大学医学院第一附属医院神经外科,新疆石河子832000

出　　处：《中国临床医学》2006年第4期616-617,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨老年人巨大垂体腺瘤的诊断与手术入路的选择。方法:总结24例老年人巨大垂体腺瘤的临床资料及手术疗效。结果:通过不同的手术入路全切除垂体腺瘤11例(44％),大部分切除13例(56％)。手术并发症多为一过性,死亡1例(4％)。结论:根据病人的情况,肿瘤的大小及形状选择手术入路,大部分老年人巨大垂体腺瘤可经蝶入路手术切除。年龄不是老年性垂体腺瘤手术治疗的禁忌。Objective：To discuss the diagnosis and the selection of surgical approaches for giant pituitary adenomas in old pot ients. Methods： The clinical data and the microsurgical results of 24 giant pituitary adenomas in old patients. Results： Total remove of pituitary adenomas was accomplished in 11 cases（44% ）and subtotal remove in 13 cases（56% ）. Most of the morbidity were transient,and the mortality was 1 case（4%）. Conclusion： Transsphenoidal microsurgery is the preferentiall surgical approach for giant pituitary adenomas in old patients. Other treatment should he considered based on condition of patients,size and shape of pituitary adenomas. Age should not he considered as prohibition.

关 键 词：垂体腺瘤 显微外科治疗 

分 类 号：R645.2[医药卫生—外科学]