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垂体腺瘤26例分析
引用本文:战卓,薛长山. 垂体腺瘤26例分析[J]. 中国厂矿医学, 2004, 17(4): 272-273
作者姓名:战卓  薛长山
作者单位:1. 沈铁吉林中心医院耳鼻咽喉科,吉林省,吉林市,132001
2. 沈铁吉林中心医院脑外科,吉林省,吉林市,132001
摘    要:
目的 分析垂体腺瘤的诊治情况。方法 自1985年5月~2002年2月诊治垂体腺瘤26例,全部选用经蝶垂体腺瘤切除术,其中24例为经蝶显微外科垂体腺瘤切除.2例为经蝶显微外科加鼻内窥镜垂体腺瘤切除。结果 术中手术顺利.术后无并发症。术后均获随访,5例17年尤复发,8例10年无复发,5例2年零8个月无复发。复发8例,7例发生在术后3年.1例发生在术后2年零3个月.均行二次手术。结论 经蝶窦显微外科垂体腺瘤切除术是一种较好的手术方法.而经蝶显微外科加鼻内窥镜垂体腺瘤切除术更为安全.有效。

关 键 词:垂体腺瘤 治疗 诊断 经蝶显微外科 鼻内窥镜
文章编号:1004-7956(2004)04-0272-02

Analysis of 26 cases of pituitary adenomas
an Zhuo,Xue Changshan. Jilin Central Hospital of Shen Yang Railway,Jilin. Analysis of 26 cases of pituitary adenomas[J]. Chinese Medicine of Factory and Mine, 2004, 17(4): 272-273
Authors:an Zhuo  Xue Changshan. Jilin Central Hospital of Shen Yang Railway  Jilin
Affiliation:an Zhuo,Xue Changshan. Jilin Central Hospital of Shen Yang Railway,Jilin 132001
Abstract:
jective To analyze the diagnosis and treatment of the patients with pituitary adenomas. Methods 26 cases of pituitary adenomas were treated by transnasal-sphenoidai surgery from May 1985 to February 2002.24 cases were treated by microsurgery, 2 cases by microsurgery and nasal endoscopy. Results The operations were successful and no complications occurred. All the cases were followed up from 32 months to 17 years. Five cases hadn't recurrence in 17 years,8 cases in 10 years and 5 cases in 32 months. 8 cases were recurrent after operations,seven in 3 years,one in 27 months,and they were operated again. Conclusion It is a good surgical method using microsurgery to treat the patients with pituitary adenomas by transnasal - sphenoidai way, but combined it with nasal endoscopy were confirmed to be more effective and safe.
Keywords:tuitary adenoma Operative surgery Endoscopy
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