经鼻蝶入路垂体瘤切除术58例临床分析  

The clinical analysis of 58 cases of pituitary tumors under transsphenoidal tumor resection

作　　者：刘金瑜[1] 张智峰[1] 范锐太[1] 田毅[1] 梁阿铭[1] 郭伟旭[1] 杨波[1] 

机构地区：[1]郑州大学第一附属医院神经外科,河南郑州450052

出　　处：《河南医学研究》2012年第1期20-22,共3页Henan Medical Research

摘　　要：目的:了解经鼻蝶入路切除垂体瘤的局部应用解剖,探讨显微镜下经鼻腔-蝶窦入路手术切除垂体瘤的疗效和临床意义。方法:总结分析2009年1月到2010年12月之间在我科行经鼻蝶垂体瘤切除术的58例患者的临床资料探讨临床疗效。结果:本组患者肿瘤全切45例,次全切11例,部分切除2例。所有患者有不同程度改善,术后头痛症状均消失,视力、月经紊乱、向心性肥胖、多尿多饮等症状有所改善。结论:显微镜下经鼻蝶入路切除垂体瘤方法简便,创伤小,恢复快,术后并发症少,是一种值得推广的手术方式。Objective： To investigate the methods and clinical value of microscopic endonasal transsphenoidal surgery for pituitary tumors. Methods： Analyzed the clinical data of 58 patients from January 2009 to December 2010 in our department under transsphenoidal pituitary tumor resection to investigate the efficacy of surgery. Results： This group of patients total resection of tumor in 45 cases,subtotal resection in 11 cases,partial resection in 2 cases.All patients had varying degrees of improvement,all postoperative headache symptoms disappeared,vision,menstrual disorders,central obesity,polyuria,polydipsia and other symptoms improved. Conclusion： The methods of under the microscopic transsphenoidal pituitary tumor resection is simple,less invasive,faster recovery,fewer complications,and it is a surgical approach should be promoted.

关 键 词：垂体瘤 显微外科 经鼻蝶 

分 类 号：R651.1[医药卫生—外科学]