内镜经鼻蝶入路切除垂体肿瘤62例分析  

Endoscopic transnasal transsphenoidal approach for the treatment of pituitary adenomas:62-case analysis

作　　者：马逵[1] 王富元[1] 李爱民[1] 孙维晔[1] 刘希光[1] 

机构地区：[1]江苏连云港市第一人民医院(徐州医学院附属连云港医院)神经外科,连云港222002

出　　处：《河南外科学杂志》2014年第3期4-6,共3页Henan Journal of Surgery

摘　　要：目的探讨内镜经鼻蝶入路治疗垂体肿瘤的手术技巧及效果。方法对62例垂体肿瘤患者实施神经内窥镜经鼻蝶手术切除。结果肿瘤全切除45例,近全切除12例,大部切除5例。术后所有患者症状均有不同程度改善,有6例出现一过性脑脊液漏,9例出现尿崩症,其中1例需长期口服弥凝。无严重并发症发生。结论内镜技术经鼻蝶手术治疗鞍区肿瘤,具有对鼻腔正常结构损伤小、暴露清楚等特点,能提高肿瘤的全切率及手术的安全性。Objective To discuss the clinical application and the technique of endocope in transnasal transsphenoidal approach for the treatment of pituitary adenomas. Methods 62 patients undervent endocopic transnasal transsphenoidal approach surgery for pituitary adeno- mas. Results The tumor was totally removed in 45 cases, subtotally removed in 12 cases, and partially removed in 5 cases. After operation, all patients obtained an improvement in clinical symptoms at some extent after the operation. Postoperative,transient cerebrospinal fluid leakage occurred in 6 cases,transient diabetes insipidus occurred in 9 cases, 1 case developed diabetes insipidus, none of the patients were suffered from permanent complications. Conclusion The advantage of endoscopic transnasal transsphenoidal approach for the treatment of the tumor in the sellar region are the minimal injury to nasal cavity, provision of a wide view,improve the safty of the surgery and the rate of total tumor remove.

关 键 词：内镜 经鼻蝶手术 垂体瘤 

分 类 号：R736.4[医药卫生—肿瘤]