经蝶窦入路垂体腺瘤切除术323例分析  

Transsphenoalal Approach Operation for Pituitary Adenoma Report of 323 Cases

作　　者：刘爱贤 郭辉[1,2] 张文毅 林贵军[1,2] 

机构地区：[1]北京大学航天临床医学院 [2]航天中心医院神经外科,北京100049

出　　处：《中国医药导刊》2010年第3期385-386,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨经蝶窦入路显微手术切除垂体腺瘤的方法和效果。方法:回顾性分析了1997年1月～2008年底经蝶窦切除垂体腺瘤323例的临床资料,对手术入路、手术切除技巧、术后视力和内分泌的变化等进行总结和分析。结果:术后视力及视野好转率达94%,内分泌症状改善达82.5%。肿瘤全切率76.8%,次全切除15.9%,大部切除7.3%。结论:经蝶入路显微手术切除垂体腺瘤疗效满意,具有损伤小、手术时间短、肿瘤全切率高,并发症少、术后康复时间短、手术死亡率低等优点,可作为垂体腺瘤患者的首选治疗方法。Objective：To study the effect of transsphenoidal approach operation for pituitary adenoma.Methods：323 patients underwent transsphenoidal surgery for pituitary adenoma between January 1997 and December 2008 in our department were retrospectively reviewed. Results：Total resection rate was 76.8%,subtotal resection rate was 15.9% partial resection rate was 7.3%.Conclusion： Transsphenoidal approach operation for pituitary adenoma is a safe and effective method to remove pituitary adenoma.

关 键 词：垂体腺瘤 经蝶窦入路 显微外科 

分 类 号：R736.4[医药卫生—肿瘤]