垂体腺瘤的手术治疗分析

目的 探讨垂体腺瘤的手术治疗方法及效果。方法 回顾性分析2011年2月至2017年10月手术治疗的116例垂体腺瘤的临床资料。经单侧鼻蝶 窦入路85例，标准翼点入路24例，右眉弓锁孔入路4例，冠状瓣纵裂入路3例。结果 肿瘤全切除92例，次全切除20例，大部切除3例，部分切除1例。 术后发生一过性尿崩12例，脑脊液漏6例，明显垂体功能低下5例。结论 经单侧鼻蝶窦入路是目前首选的手术方法，但对于侵袭性生长的垂体腺瘤需 根据肿瘤影像特点选择适当的手术入路。

Analysis of curative effect of surgery on patients with pituitary adenomas (report of 116 cases)

Objective To evaluate the curative effect of different surgical forms on the pituitary adenomas, and their indications, merits and demerits. Methods The clinical data of 116 patients with pituitary adenomas, who underwent surgery from February, 2011 to October, 2017, were analyzed retrospectively. Of 116 patients with pituitary adenomas, 85 were treated by transnasal transphenoidal microsurgery, 24 by microsurgery via pterional approach, 4 microsurgery via right supercillary arche key hole approach and 3 by microsurgery via longtudinal approach. Results The pituitary adenomas were totally resected in 92 patients, subtotally in 20, in great part in 3 and partly in 1. Conclusions The surgical outcomes are good in these 116 patients. The pituitary adenomas confined to the sella and parasellar regions should be removed by microsurgery through transnasal transsphenoidal approach. But the invasive pituitary tumors should be by individualized microsurgery selected according to their characteristics on the images.