| 经单侧鼻腔蝶窦入路切除垂体腺瘤 |
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| 引用本文： | 郝志勇,王献清,张福生,李俭普,尹乾坤,姚庆东,郭晓明.经单侧鼻腔蝶窦入路切除垂体腺瘤[J].医药论坛杂志,2009(14). |
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| 作者姓名： | 郝志勇 王献清 张福生 李俭普 尹乾坤 姚庆东 郭晓明 |
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| 作者单位： | 河南省濮阳市人民医院神经外科; |
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| 摘 要： | 目的总结经单侧鼻腔蝶窦入路切除垂体腺瘤的手术经验及疗效。方法回顾性分析30例垂体腺瘤患者的临床表现及手术方法和经验。结果肿瘤全切除22例,次全切除6例,部分切除2例。术后视力及视野改善者20例,内分泌指标恢复正常者26例。视力及视野无明显改善者2例。2例出现顽固性尿崩3月后治愈。3例脑脊液鼻漏2周后治愈。本组无死亡病例。结论经单侧鼻腔蝶窦入路切除垂体腺瘤手术入路直接、操作时间短、创伤小、并发症少,是较理想的经蝶手术术式。
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| 关 键 词： | 垂体腺瘤 经蝶入路 手术 |
Mononostril-transsphenoidal Approach for Pituitary Adenoma |
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| HAO Zhiyong,WANG Xianqing,ZHANG Fusheng,et al.Mononostril-transsphenoidal Approach for Pituitary Adenoma[J].Journal of Medical Forum,2009(14). |
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| Authors: | HAO Zhiyong WANG Xianqing ZHANG Fusheng |
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| Institution: | HAO Zhiyong,WANG Xianqing,ZHANG Fusheng,et alDepartment of Neurosurgery,Puyang People's Hospital,Puyang 457000,China |
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| Abstract: | Objective To summarize the mononostril-transsphenoidal approach for pituitary adenoma.Methods The clinical features,operative techniques,and outcome of 30 patients with pituitary adenoma were analyzed retrospectively.Results Tumors were totally removed 22 cases,and near-totally resected in 6 cases,and partially resected in 2 cases.Among these cases,20 patients recovered well and their sight was improved and fields of vision expanded.26 patients' internal secretion index became normal.2 patients' sight and v... |
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| Keywords: | Pituitary adenoma Transsphenoidal approach Operation |
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