经鼻蝶与经颅入路显微切除垂体腺瘤的临床对比研究  

A Clinical Contract Study of Pituitary Adenoma Micro-resection by Transnasal Transsphenoid Approach and by Transskull Approach

作　　者：田素臣[1] 刘连英 

机构地区：[1]山东省单县中心医院神经外科,274300 [2]山东省菏泽家政职业学院

出　　处：《医学理论与实践》2008年第8期885-887,共3页The Journal of Medical Theory and Practice

摘　　要：目的:对比垂体瘤两种手术方法的优点及适应证。方法:选用近5年经鼻蝶入路垂体瘤手术的60例病例,及2002年前的经颅手术的30例垂体瘤病例多项作对比研究。结果:两组对比:视力改善率P>0.05,手术时间、出血量、住院日、全切除数、激素改变率P<0.05。结论:经鼻蝶入路垂体瘤切除是一种安全有效的方法,具有手术时间短,出血少,术后恢复快,病人易接受,术后效果好等优点。蝶窦发育差及蝶窦炎症的病人适合开颅手术。Objective：To contrast advantages and indications of two methods of pituitary adenoma resection： transnasal transsphenoid approach and transskull approach. Methods：Selected 60 cases of pituitary adenoma resected by transnasal transsphenoid approach and 30 cases of pituitary adenoma resected by transskull approach, were selected to do clinical contract study. Results：The comparision of two groups showed P〈0. 05 in operation time , bleeding, hospitalization days, total resection numbers, hormone change rate and P〉0. 05 in sight acuity improvement. Conclusion：Pituitary adenoma micro-resection by transnasal transsphenoid sinus is a safe effective method ,which has a lot of advantages： short operation time, less bleeding, fast postoperation recovery, acceptable by patients and better effects.

关 键 词：垂体腺瘤 显微切除 经鼻蝶入路 经颅入路 

分 类 号：R739.41[医药卫生—肿瘤]