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神经内镜单鼻腔蝶窦入路切除垂体腺瘤
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
作者姓名:王守权  王心民  陈晓旭  李旭琴  于军  熊文德
作者单位:大连市中心医院神经外科,辽宁大连116033
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。

关 键 词:神经内镜  垂体腺瘤  手术

Endoscopic Endonasal Transsphenoidal Surgery for Pituitary
Affiliation:WANG Shou-quan,WANG Xin-min,CHEN Xiao-xu,et al.Department of Neurosurgery,Dalian Municipal Center Hospital,Dalian Liaoning 116033,China
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.
Keywords:endoscopy  pituitary tumors  surgery
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