神经内镜单鼻腔蝶窦入路切除垂体腺瘤  

Endoscopic Endonasal Transsphenoidal Surgery for Pituitary

作　　者：王守权[1] 王心民[1] 陈晓旭[1] 李旭琴[1] 于军[1] 熊文德[1] 

机构地区：[1]大连市中心医院神经外科,辽宁大连116033

出　　处：《华西医学》2009年第11期2999-3000,共2页West China Medical Journal

摘　　要：目的:探讨神经内镜经单鼻腔蝶窦入路在切除垂体腺瘤中的临床应用。方法:对58例垂体腺瘤患者进行手术切除。应用神经内镜直接自单鼻腔进入,暴露双侧蝶窦开口,打开蝶窦前壁进入蝶窦腔切除肿瘤。结果:肿瘤全部切除42例,约占72%;次全切除16例,约占28%,无严重并发症。结论:神经内镜经单鼻腔蝶窦入路切除垂体腺瘤是一种更微创、暴露更好、并发症少的手术方式。Objective：To investigate the clinic application of endoscopic end nasal transsphenoidal surgery for pituitary tumors.Methods：58 patients were treated.A endoscope was used to open the anterior wall of the sphenoid sinus and resected tumors.Results：42 cases（72%） underwent total resection,16 cases（28%） underwent subtotal resection. No severe complications was found.Conclusion：Endoscopic end nasal transsphenoidal surgery for pituitary tumors can reduce the tissue trauma,improved visualization,more complete tumor removal,and reduce complications.

关 键 词：神经内镜 垂体腺瘤 手术 

分 类 号：R736.4[医药卫生—肿瘤]