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经单鼻孔蝶窦入路显微手术切除垂体瘤
引用本文:郭俊,胡晓晨,伏林山,蔡为人,陈旭人. 经单鼻孔蝶窦入路显微手术切除垂体瘤[J]. 中国临床神经科学, 2010, 18(1): 42-45
作者姓名:郭俊  胡晓晨  伏林山  蔡为人  陈旭人
作者单位:盐城市第一人民医院神经外科,224006
摘    要:目的:探讨经单鼻孔蝶窦入路显微手术切除垂体瘤的技巧和疗效。方法:对2005年3月至2009年3月收治的71例垂体瘤患者采用显微镜下经单鼻孔蝶窦入路切除垂体瘤的临床资料及手术方法予以分析。结果:71例垂体瘤患者中58例(81.7%)全部切除,12例(16.9%)次全切除,1例(1.4%)大部分切除。无手术死亡病例。手术前PRL和GH水平升高患者,手术后激素水平均明显下降。结论:经单鼻孔蝶窦入路显微手术切除垂体瘤具有创伤小,手术时间短,并发症少,术后康复快,垂体功能保存率高等优点,是一种安全有效的切除垂体瘤的方法。

关 键 词:单鼻孔  经蝶窦  垂体瘤  显微手术

Microsurgical Removal of Pituitary Adenomas through Unilateral Endonasal Transsphenoidal
GUO Jun,HU Xiao-Chen,FU Lin-Shan,CAI Wei-Ren,CHEN Xu-Ren. Microsurgical Removal of Pituitary Adenomas through Unilateral Endonasal Transsphenoidal[J]. Chinese Journal of Clinical Neurosciences, 2010, 18(1): 42-45
Authors:GUO Jun  HU Xiao-Chen  FU Lin-Shan  CAI Wei-Ren  CHEN Xu-Ren
Affiliation:GUO Jun,HU Xiao-Chen,FU Lin-Shan,CAI Wei-Ren,CHEN Xu-Ren Department of Neurosurgery,Yancheng No.1 Hospital,Yancheng 224006,China
Abstract:To investigate the skill and effect of microsurgical removal of pituitary adenomas through unilateral endonasal transsphenoidal.Methods:71 patients with pituitary adenomas were undergone microsurgical operation through unilateral endonasal transsphenoidal.Results:58 patients were undergone totally resection, 12 were undergone subtotally resection,and 1 was most resection.There was no mortality in 71 patients.The hormone levels resumed to normality postoperatively.Conclusion:This microsurgical operation has ...
Keywords:unilateral endonasal  transsphenoidal  pituitary adenoma  microsurgery  
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