神经内镜单鼻腔蝶窦入路切除垂体腺瘤 |
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引用本文: | 王守权,王心民,陈晓旭,李旭琴,于军,熊文德. 神经内镜单鼻腔蝶窦入路切除垂体腺瘤[J]. 华西医学, 2009, 0(11): 2999-3000 |
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作者姓名: | 王守权 王心民 陈晓旭 李旭琴 于军 熊文德 |
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作者单位: | 大连市中心医院神经外科,辽宁大连116033 |
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摘 要: | 目的:探讨神经内镜经单鼻腔蝶窦入路在切除垂体腺瘤中的临床应用。方法:对58例垂体腺瘤患者进行手术切除。应用神经内镜直接自单鼻腔进入,暴露双侧蝶窦开口,打开蝶窦前壁进入蝶窦腔切除肿瘤。结果:肿瘤全部切除42例,约占72%;次全切除16例,约占28%,无严重并发症。结论:神经内镜经单鼻腔蝶窦入路切除垂体腺瘤是一种更微创、暴露更好、并发症少的手术方式。
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关 键 词: | 神经内镜 垂体腺瘤 手术 |
Endoscopic Endonasal Transsphenoidal Surgery for Pituitary |
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Affiliation: | WANG Shou-quan,WANG Xin-min,CHEN Xiao-xu,et al.Department of Neurosurgery,Dalian Municipal Center Hospital,Dalian Liaoning 116033,China |
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Abstract: | Objective:To investigate the clinic application of endoscopic end nasal transsphenoidal surgery for pituitary tumors.Methods:58 patients were treated.A endoscope was used to open the anterior wall of the sphenoid sinus and resected tumors.Results:42 cases(72%) underwent total resection,16 cases(28%) underwent subtotal resection. No severe complications was found.Conclusion:Endoscopic end nasal transsphenoidal surgery for pituitary tumors can reduce the tissue trauma,improved visualization,more complete tumor removal,and reduce complications. |
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Keywords: | endoscopy pituitary tumors surgery |
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