神经内镜下经单鼻孔蝶窦入路切除鞍区病变40例临床分析  

Endoscopic mono-endonasal transsphenoidal surgery in treating sellar lesions： 40 cases report

作　　者：王志潮[1] 叶立双 柳江[1] 王建生[1] 何远东[1] 

机构地区：[1]北京市海淀医院神经外科,100080

出　　处：《中华神经医学杂志》2010年第7期730-732,共3页Chinese Journal of Neuromedicine

摘　　要：目的 总结神经内镜下经单鼻孔蝶窦入路手术治疗鞍区病变的方法和经验.方法 北京市海淀医院神经外科自2006年6月至2009年10月采用神经内镜下经单鼻孔蝶窦入路手术治疗鞍区病变患者40例,其中垂体腺瘤38例,Rathke囊肿2例.回顾性分析患者的临床资料和治疗效果.结果垂体瘤38例中全切除35 例（92.1%）,大部切除3例（7.9%）,2例Rathke囊肿均全切除.随访结果显示垂体瘤患者中33例（86.8%）治愈,5例（13.2%）控制,全部患者术后未有严重的永久性并发症.结论 经单鼻孔蝶窦入路手术治疗鞍区病变创伤小、安全、方便.Objective To provide anatomical and clinic basis for endoscopic mono-endonasal transsphenoidal surgery in the treatment of patients with sellar lesions. Methods Forty patients with sellar lesions （38 with pituitary adenoma and 2 with Rathke＇s cysts）, admitted to our hospital from June 2006 to October 2009, were chosen; their clinical data and treatments were retrospectively analyzed. Results In 38 patients with pituitary adenoma, total resection was achieved in 35 （92.1%） and subtotal resection was achieved in 3 （7.9%）. All the 2 patients with Rathke＇s cysts were received total resection. Follow-up showed that 33 patients with pituitary adenoma was tumor-free and the tumor in the other 5 got controlled. Conclusion endoscopic mono-endonasal transsphenoidal surgery is safe and easy to perform with little trauma for the sellar diseases.

关 键 词：神经内镜 经单鼻孔蝶窦入路 鞍区病变 

分 类 号：R736.4[医药卫生—肿瘤]