单鼻孔经蝶窦入路显微手术治疗垂体腺瘤的疗效分析  

EFFECT OF SINGLE-NOSTRIL TRANSSPHENOIDAL MICROSURGICAL TREATMENT OF PITUITARY ADENOMA

作　　者：古奕冕[1] 李林繁[1] 詹辉[1] 陈国江[1] 

机构地区：[1]高州市人民医院,广东高州525200

出　　处：《现代医院》2011年第6期54-56,共3页Modern Hospitals

摘　　要：目的探讨单鼻孔经蝶入路切除垂体瘤的手术技巧。方法对78例垂体腺瘤均经MRI确诊,并在显微镜下经鼻蝶窦入路切除。结果 78例患者中肿瘤全切除42例,大部分切除36例。78例分泌腺瘤病人中术后激素水平降至正常59例,43例暂时性尿崩,低钠血症13例,脑脊液鼻漏7例。结论经单鼻孔蝶窦入路切除垂体腺瘤是一种安全有效的微侵袭手术方法。Objective To investigate the single-nostril transsphenoidal pituitary tumor surgery techniques.Methods 78 cases of pituitary adenoma were diagnosed by MRI,and underwent the microscope nasal transsphenoidal resection.Results In 78 patients,tumor whole removal 42 cases,subtotal 36 cases.In 78 secreting adenoma patients,postoperative hormone levels decrease to normal in 59 cases,43 cases of transient diabetes insipidus,13 cases of hyponatremia,cerebrospinal fluid leakage in 7 cases.Conclusion The single-nostril transsphenoidal pituitary adenoma resection is a safe and effective minimally invasive surgical approach.

关 键 词：单鼻孔 经蝶入路 垂体腺瘤 显微手术 

分 类 号：R736.4[医药卫生—肿瘤]