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| 内镜下经单鼻孔蝶窦入路切除垂体腺瘤的临床研究 | |
| 引用本文： | 胡火军,黄益玲,王雄伟,汪雷. 内镜下经单鼻孔蝶窦入路切除垂体腺瘤的临床研究[J]. 中国内镜杂志, 2011, 17(8) |
| 作者姓名： | 胡火军 黄益玲 王雄伟 汪雷 |
| 作者单位： | 1. 三峡大学第一临床医学院宜昌市中心人民医院神经外科,湖北宜昌,443003 2. 三峡大学医学院病理教研室,湖北宜昌,443002 |
| 摘 要： | 目的 探讨神经内镜下经单鼻孔蝶窦入路在垂体腺瘤切除术中的临床应用.方法 回顾性分析47例内镜下经单鼻孔蝶窦入路治疗垂体腺瘤患者的临床资料及手术方法,观察其疗效及并发症.结果 肿瘤全切除39例(82.9％),次全切除6例(12.8％),部分切除2例(4.3％).术后并发症有暂时性尿崩症11例,脑脊液鼻漏3例,术后鼻腔出血2例,颅内感染1例.无死亡病例.术后随访6～24个月,临床症状多有不同程度改善；术后内分泌学复查,25例激素水平降至正常,无肿瘤复发.结论 内镜下经单鼻孔蝶窦入路切除垂体腺瘤具有创伤小、并发症少、患者恢复快等优点,是治疗垂体腺瘤的一种安全、有效的方法. |
| 关 键 词： | 垂体腺瘤 经鼻蝶入路 神经内镜 |
Clinical study of pituitary adenoma resection through endoscopic endonasal transsphenoidal approach |
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| HU Huo-jun , HUANG Yi-ling , WANG Xiong-wei , WANG Lei. Clinical study of pituitary adenoma resection through endoscopic endonasal transsphenoidal approach[J]. China Journal of Endoscopy, 2011, 17(8) | |
| Authors: | HU Huo-jun HUANG Yi-ling WANG Xiong-wei WANG Lei |
| Affiliation: | HU Huo-jun1,HUANG Yi-ling2,WANG Xiong-wei1,WANG Lei1(1.Department of Neurosurgery,Yichang Central People's Hospital,Yichang,Hubei 443003,P.R.China,2.Department of Pathology,Medical School of China Three Gorges University,Hubei 443002,P.R.China) |
| Abstract: | [Objective] To explore the clinical application of surgery for pituitary adenoma via endoscopic endonasal transsphenoidal approach.[Methods] The clinical data and surgical methods of 47 patients with pituitary adenomas,who were treated by endoscopic endonasal transsphenoidal surgery,were analyzed respectively to observe the effects and complications.[Results] The tumors were totally removed in 39 cases(82.9%),subtotally removed in 6 cases(12.8%) and partly removed in 2 cases(4.3%).Postoperative complication... |
| Keywords: | pituitary adenoma endonasal transsphenoidal approach endoscope |
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