巨大垂体腺瘤的显微外科治疗

目的 探讨巨大垂体腺瘤显微外科手术治疗方法及经验。方法 对５６例巨大生 生长方向及部位进行分型，根据分别采用经蝶、经额下、定员下经蝶、扩大经蝶、扩大额下硬膜外、额下、翼点等１０种手术入路，并在显微镜下实施治疗。结果 ５６例巨大垂体腺瘤全切２９例、近全切２０例，大部切除７例，无死亡。经平均２年多的随访，证明手术治疗效果良好。结论 依据巨大垂体腺瘤的不同位置及生长方向选择适当的手术入路是提高全切率、

Microsurgical treatment of giant pituitary adenomas (reports of 56 cases)

Objective To introduce a microsurgical operative experience with 56 cases of huge pituitary adenomas. Methods Fifty six cases of huge pituitary adenomas were studied retrospecticely. The tumors were classified into four types according to their configuration and extensive direction. The tumors were removed by various approaches, such as transsphenoidal, transsubfrontal, extended transsphenoidal, extended subfrontal extradual and subfrontal transpterional method. All patients were treated by 10 types of surgical approaches.The choice of surgical approach and operative care were introduced. Results Total removal was achieved in 29 cases,subtotal in 20, without any severe complications. Conclusion Choosing appropriate approach can improve the rate of total tumor removal and can decrease the mortallty and recurrent rate.