内窥镜下蝶窦和蝶鞍手术

目的 探讨内窥镜下蝶窦和蝶鞍区手术的体会。方法 内窥镜下治疗脑脊液蝶窦漏１例,蝶窦金属（子弹）异物３例,蝶窦囊肿５例,蝶窦霉菌病５例,蝶窦息肉１例,蝶筛窦腺癌１例;垂体腺瘤２３例（微腺瘤１７例,侵袭性腺瘤６例）,颅咽管瘤２例。结果 蝶窦囊肿、息肉和霉菌病治愈;垂体微腺瘤和１例颅咽管瘤全切术;侵袭性腺瘤、１例颅咽管瘤和蝶筛窦腺癌部分切除,死亡１例（垂体腺瘤术中出血）;脑脊液鼻漏治愈;蝶窦异物２例取出

Trannasal-transsphenoidal endoscopic surgery of the sphenoid sinus and the sella turcica]

OBJECTIVE: The primary objective of this study is reporting our experience with transnasal endoscopic technique to management of the sphenoidal and the sellar lesions. METHOD: Forty one patients were management under endoscope who suffered from pituitary adenomas, craniopharyngioma and sphenoidal lesions, et al. RESULTS: In forty one cases of the sphenoidal and the sellar lesions, thirty two surgeries were successful. One patient died of bleeding, five developed the foramen of nasal septum, the adhesion of nasal cavity was complicated in three patients. CONCLUSION: The endoscope has the advantage of improved visualization, angled view, and a wide panoramic perspective. The transnasal-transspheniodal endoscopic technique is a effective, minimally invasive approach. But there are its disadvantages and occurred severe complication. Surgeons should be understood its feasibility, limits and indication.