内窥镜辅助下经蝶窦行垂体腺瘤切除术19例临床分析

【目的】探讨内窥镜辅助下经蝶窦行垂体腺瘤切除术的手术方法。【方法】分析内窥镜辅助下经蝶窦行垂体腺瘤手术19例的临床特征及疗效。【结果]19例患者术前CT、MRI显示，其中微腺瘤5例，大腺瘤7例，巨大腺瘤7例。内窥镜辅助下经蝶窦行垂体腺瘤切除术全切除肿瘤14例，大部切除5例．术后随访1～3年，主要临床症状均有不同程度改善。【结论】内窥镜辅助下经蝶窦行垂体腺瘤手术方法具有微创、简便，并发症少的优点，是垂体瘤手术治疗的较佳手段。

Clinical Analysis of 19 Patients with Transsphenoidal Operation Assisted by Endoscope in Resection of Pituitary Adenoma

Objective]To investigate the method of transsphenoidal operation assisted by endoscope in resection of pituitary adenoma. Methods]The clinic character of 19 patients with pituitary adenoma was analyzed and the effects of treatment were assessed. Results]The diameter of pituitary adenoma was measured according to the images of CT or MRI before surgery. There were 5 patients with microadenoma, 7 patients with large adenoma and 7 patients with macrostic adenoma . Among 19 cases, 14 cases were total resected of the tumor with transsphenoidal operation assisted by endoscope, 5 cases were subtotally resected of the tumor. Followed-up from one year to three years, the main symptoms were improved with some degree. Conclusion] The method of transsphenoidal operation assisted by endoscope in resection of pituitary adenoma is simple and mini-mally invasive,so it is one of the favorable pituitary tumor surgeries.