| 鼻内窥镜下鼻腔蝶窦径路垂体肿瘤切除术 |
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| 引用本文： | 安会明 王力红. 鼻内窥镜下鼻腔蝶窦径路垂体肿瘤切除术[J]. 中华耳鼻咽喉科杂志, 2000, 35(5): 367-368 |
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| 作者姓名： | 安会明 王力红 |
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| 作者单位： | 华西医科大学附属第一医院耳鼻咽喉科,成都 |
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| 摘 要： | 目的 探讨在鼻内窥下经鼻腔蝶窦垂体肿瘤切除术的术式改进方法及麻醉方法。方法 用鼻窦内窥镜经鼻腔蝶窦入路切除垂体肿瘤４２例，其中局部麻醉加基础麻醉３７例，并作了如下改进：剥离梨骨翼及后鼻孔上缘区域的粘骨膜瓣和切除梨骨翼及蝶嘴，避免了损伤鼻中隔后动脉的可能，也增加手术操作的空间。结果 术中出血少，手术顺利，４２例均无并发症发生。术后随访６～３５个月，均有不同程度的症状改善。结论 用局部麻醉在鼻内窥镜下
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| 关 键 词： | 内窥镜检 垂体肿瘤 垂体摘除 鼻腔蝶窦径路 |
Endoscopic transnasal sphenoidal approach in hypophysectomy] |
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| H An,L Wang,Y Liu,K Wang,X Qiao. Endoscopic transnasal sphenoidal approach in hypophysectomy][J]. Chinese Journal of Otorhinolaryngology, 2000, 35(5): 367-368 |
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| Authors: | H An L Wang Y Liu K Wang X Qiao |
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| Affiliation: | Department of Otorhinolaryngology, First University Hospital, West China University of Medical Sciences, Chengdu 610041, China. wlh33@cd120.com |
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| Abstract: | OBJECTIVE: To report the anesthetization and surgical method of transnasal-sphenoidal endoscopic approach in hypophysectomy. METHODS: Forty-two cases with pituitary tumor underwent tranasal-sphenoidal endoscopic surgery and 37 out of 42 accepted local anesthesia and sedation. RESULTS: No complications had occurred, the operations went successfully with less blood loss. Postoperative endoscopic follow-up period was performed at 6 to 35 months. The symptoms were improved in all patients. CONCLUSION: Our results show that transnasal-sphenoidal endoscopic approach under local anesthesia in the treatment of pituitary tumor seems to be a safe simple and valuable way. |
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