神经内镜辅助单鼻孔经蝶垂体腺瘤手术81例  

Neural endoscopic aided by the via transsphenoidal surgery 81 cases of pituitary adenoma surgery

作　　者：张峰林[1] 田新华[1] 黄延林[1] 张俊卿[1] 刘禹冰[1] 杨芳裕[1] 陈锷[1] 陈陆馗[1] 邓志鸿[1] 李泉清[1] 

机构地区：[1]厦门大学附属中山医院神经外科,福建厦门361004

出　　处：《实用临床医药杂志》2011年第13期59-61,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨、总结神经内镜辅助下,单鼻孔经蝶窦入路手术方式垂体腺瘤切除治疗效果。方法回顾总结81例近期手术治疗临床资料,总结手术后治疗经验,比较分析神经内镜辅助下手术的优缺点。结果术前视力、视野受损56例,术后均有不同程度的改善,头痛20例,术后头痛消失,闭经泌乳27例,术后22例月经恢复正常,5例泌乳素仍高继续口服溴隐停,13例生长激素腺瘤术后生长激素恢复正常,肢端肥大有所减轻。结论经单鼻孔蝶窦垂体瘤神经内镜下手术技术简便、安全和有效。Objective To assess the outcome of pituitary adenoma resection via monorhinic transsphenoid approach.Methods Clinical manifestations,surgery via monorhinic transsphenoid approach and outcome of 81 cases of pituitary adenoma were summarized retrospectively.The advantages and disadvantages of the surgical approach were estimated.Results Vision and visual field defect improved in different degree postoperatively in the all 56 cases.Headache subsided in the all 20 cases.Of 27 cases,amenorrhea and lactation recovered in 22 cases.Prolatin remained high in 5 cases.Growth hormone returned to normal in 13 cases.Conclusion Monorhinic transsphenoid approach for pituitary adenoma under neural endoscope is simple,safety and effective.

关 键 词：垂体肿瘤 神经内镜 

分 类 号：R739.4[医药卫生—肿瘤]