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经鼻内镜鼻中隔蝶窦径路垂体腺瘤切除术
引用本文:马俭,乔明哲,李立新,胡卫星. 经鼻内镜鼻中隔蝶窦径路垂体腺瘤切除术[J]. 临床耳鼻咽喉头颈外科杂志, 2006, 20(2): 58-59,63
作者姓名:马俭  乔明哲  李立新  胡卫星
作者单位:南京医科大学附属南京第一医院耳鼻咽喉科,南京,210006;南京医科大学第一附属医院耳鼻咽喉科;南京医科大学第一附属医院神经外科
摘    要:
目的:探讨经鼻内镜中隔一蝶安径路行垂体腺瘤印除术的方法。方法:对23例垂体腺瘤患者采用经鼻内镜中隔一蝶窦径路垂体腺瘤显微切除术。结果:23例垂体腺瘤均完全切除,手术时间短,术中平均出血量为50ml,术后平均住院日6d,术后无严重并发症。结论:与经蝶人路显微外科手术和鼻内镜下经蝶垂体腺瘤手术相比,经鼻内镜中隔一蝶窦径路垂体腺瘤切除术实现了经蝶人路显微外科手术和鼻内镜下经蝶垂体腺瘤手术的优势互补,手术创伤小,操作方便,切除彻底。具有良好的鼻内镜操作和显微手术技能,选择适当的适应证,可以达到理想的效果.

关 键 词:垂体腺瘤  内镜术  显微外科手术
文章编号:1001-1781(2006)02-0058-03
收稿时间:2005-05-10
修稿时间:2005-05-10

Endoscopic transseptal transsphenoidal pituitary adenoma microsurgery
MA Jian,QIAO Mingzhe,LI Lixin,HU Weixing. Endoscopic transseptal transsphenoidal pituitary adenoma microsurgery[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2006, 20(2): 58-59,63
Authors:MA Jian  QIAO Mingzhe  LI Lixin  HU Weixing
Affiliation:Department of Otorhinolaryngology, Nanjing First Hospital, Affiliated of Nanjing Medical University, Nanjing 210006, China. mj0607@sohu.com
Abstract:
Objective:To introduce the approach and technique of endoscopic transseptal transsphenoidal pituitary adenoma microsurgery.Method:Endoscopic transseptal transsphenoidal pituitary adenoma microsurgery were performed in 23 patients.Result:Tumors were total resected in all of the patients.The mean volume of bleeding was 50 ml and there were not any severe complications.Conclution:Compared with transsphenoidal pituitary adenoma microsurgery and endoscopic transsphenoidal pituitary adenoma surgery,endoscopic transseptal transsphenoidal pituitary adenoma microsurgery could combine the benefits of the two approaches.The approach has the benefit of microtrauma,convenience and could resect the tumor thoroughly.We could do best in treating suitable patients with good endoscopic technique.
Keywords:Pituitary adenoma   Endoscopic  Microsurgery
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