经蝶入路显微手术治疗垂体腺瘤22例  

Trans-sphenoid approach microsurgery for pituitary adenomas in 22 cases

作　　者：梁新强[1] 蒋广元[1] 宋星志[1] 张征军[1] 黄航[1] 廖毅超[1] 覃颜[1] 

机构地区：[1]广西壮族自治区第二人民医院神经外科,桂林541002

出　　处：《中国微创外科杂志》2004年第3期225-226,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　探讨经蝶入路显微手术治疗垂体腺瘤的价值。　方法　回顾性分析我院 1990年 1月～ 2 0 0 1年 12月 2 2例经蝶入路显微手术治疗垂体腺瘤的临床资料。　结果　肿瘤全切率 6 8 2 % (15 /2 2 )。 17例随访 1～ 13年 ,视力视野障碍均有不同程度改善 12例 ,5例失明均不能恢复。　结论　经蝶入路显微手术治疗垂体腺瘤是微创、安全和有效的方法。Objective To study the significance of trans-sphenoid approach microsurgery in the management of pituitary adenomas. Methods Clinical data of 22 cases of pituitary adenomas treated by trans-sphenoid approach microsurgery in this hospital from January 1990 to December 2001 were analyzed retrospectively. Results The total resection rate was 68.2% (15/22). Follow- up in 17 cases for 1～13 years showed that different degree of improvement was achieved in the 12 cases of impairment in vision or visual field,but no recovery was obtained in the 5 cases of blindness. Conclusions Trans-sphenoid approach microsurgery is a minimally invasive, safe and effective method for the treatment of pituitary adenomas.

关 键 词：垂体腺瘤 显微手术 

分 类 号：R736.4[医药卫生—肿瘤]