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内窥镜下经鼻腔-蝶窦垂体瘤切除术
引用本文:范献良,张大良,周茂德,徐淑军,史丽. 内窥镜下经鼻腔-蝶窦垂体瘤切除术[J]. 临床耳鼻咽喉头颈外科杂志, 1999, 0(5): 210-211
作者姓名:范献良  张大良  周茂德  徐淑军  史丽
作者单位:1. 山东医科大学卫生部耳鼻喉科学重点实验室,济南,250012
2. 山东医科大学附属医院耳鼻咽喉科
3. 山东医科大学附属医院神经外科
摘    要:探讨如何减少手术对垂体瘤患者造成的创伤,从而达到微创伤或低创伤治疗。方法对12例患者在鼻内窥镜下进行经鼻腔-蝶窦垂体瘤切除术,全麻,内窥镜下经一侧鼻腔,蝶窦入路,打开鞍底骨质及硬脑膜,直视下切除肿瘤。结果除1例二次手术的生长激素腺瘤患者死于术后颅内出血外,其余恢复顺利。

关 键 词:内窥镜术  垂体瘤

Endoscopic pituitary tumor surgery by nasal cavity and sphenoid sinus
Fan Xianliang, Zhang Daliang, Zhou Maode et al. Endoscopic pituitary tumor surgery by nasal cavity and sphenoid sinus[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 1999, 0(5): 210-211
Authors:Fan Xianliang   Zhang Daliang   Zhou Maode et al
Affiliation:Institute of Otolaryngology, Shandong Medical University, Jinan 250012.
Abstract:ObjectiveForreducing surgical trauma to patients of pituitary tumor.Method12patients of pituitary tumor were treated with endoscopy by nasal cavity and sphenoid sinusunder general anaesthesia.ResultExcept one died of bleeding withincranial cavity after operation,the rest recovered smoothly without severecomplications.During 7 months to one and half year follwing-up,the function of endocrinein 9 cases resumed to normal and 8 of their vision improved to some extent.ConclusionThegood illumination and clear visual field under endoscopy could improve the accuracy andsecurity of operation and minimize the injury to normal tissue.But for large or recurrenttumors,this approach should be selected carfully.
Keywords:Endoscopy  Pituitary tumor  
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