单鼻孔经蝶窦入路显微手术治疗垂体腺瘤128例分析  

Analysis of single-nostril transsphenoidal microsurgical in treatment of pituitary adenoma 128 cases

作　　者：陈立忠[1] 杨金庆[1] 蔡书雄[1] 薛勇[1] 赵学俊[1] 路长江[1] 李龙[1] 董兴河[1] 

机构地区：[1]濮阳市油田总医院神经外科,河南濮阳457001

出　　处：《医药论坛杂志》2011年第5期34-35,共2页Journal of Medical Forum

摘　　要：目的介绍单鼻孔经蝶窦入路切除垂体腺瘤的显微手术技术和并发症的处理。方法对128例垂体腺瘤的手术入路、术中操作和并发症的处理进行分析,随访85例患者3~12个月。结果104例（82%）垂体腺瘤全切除,24例（18%）次全切除。无死亡和残疾等严重并发症。结论单鼻孔经蝶窦入路具有微创、节时、安全和并发症少等优点。但是,必须掌握相关的解剖和手术技巧。Objective To introduce the single-nostril transsphenoidal pituitary adenoma microsurgery techniques and complications.Methods Totally 128 patients with pituitary adenoma surgical approach,intraoperative complications of the operation and analysis,85 patients were followed up for 3~12 months.Results Totally 104 patients（82%） pituitary adenoma resection,24 patients（18%） subtotal resection.No serious complications such as death and disability.Conclusions Transnasal transsphenoidal is minimally invasive,save time,security,and fewer complications.However,it must master the relevant anatomy and surgical skills.

关 键 词：单鼻孔经蝶窦入路 垂体腺瘤 显微手术 

分 类 号：R651.1[医药卫生—外科学]