内窥镜电视监视下经单鼻腔蝶窦入路垂体腺瘤切除5例  

Five cases endonasal transsphenoidal endoscopic television pituitary adenoma ectomy

作　　者：黄延林 张俊卿 陈陆馗 张峰林 曾军 李泉清 

机构地区：[1]厦门中山医院神经外科,361004

出　　处：《福建医药杂志》2004年第2期1-3,共3页Fujian Medical Journal

摘　　要：目的 探讨经鼻内窥镜垂体瘤切除的应用价值。方法 采用直径4 mm0°、30°的内窥镜对5例垂体瘤病人,在内窥镜电视监视下经单鼻腔蝶窦入路切除垂体腺瘤。结果 1例大腺瘤及1例微腺瘤得到了完全切除,3例大腺瘤伴出血及囊变行大部分切除。手术所需时间明显较经鼻中隔蝶窦入路的显微外科手术短。所有病人症状明显改善。术后除2例出现一过性尿崩外,其余无并发症发生。结论 内窥镜电视监测下经单鼻腔蝶窦入路切除垂体腺瘤是一个简便、安全、微创的外科技术,随着设备的进一步完善和经验的不断提高,将会越来越多地得以应用并取得良好效果。Objective To evaluate the value of endoscopic pituitary adenoma ectomy. Methods This study focus on 5 patients with pituitary adenomas. Operations were performed through a 1mm rigid zero and thirty degree endoscopes. Results 1 macroadenoma and 1 microadenoma underwent total resection and 3 big adenomas subtotal resection. It need more less time than transsphenoidal pituitary microsurgery through nasal septum. The symptoms of all patient were cured or improved. No patient developed any complications except of 2 cases with transient diabetes insepidus. Conclusion Endonasal transsphenoidal endoscopic television pituitary adenoma ectomy offers simple and rapid access to the sella turcica and also direct visualization. It is a safe minimally invasive and efficient procedure for removing pituitary adenomas. The improvement of instrumentation and operation skills will facilitate this surgery.

关 键 词：内窥镜 电视监视 经单鼻腔蝶窦入路 垂体腺瘤 切除术 

分 类 号：R736.4[医药卫生—肿瘤]