| 垂体腺瘤的显微外科治疗 |
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| 引用本文： | 李真保,徐善水,潘先文,陶进,许安定,江晓春. 垂体腺瘤的显微外科治疗[J]. 中国临床神经外科杂志, 2005, 10(3): 167-169 |
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| 作者姓名： | 李真保 徐善水 潘先文 陶进 许安定 江晓春 |
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| 作者单位： | 皖南医学院弋矶山医院神经外科,安徽,芜湖,241001 |
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| 摘 要： | 目的探讨外科治疗垂体腺瘤显微手术方法的选择。方法对CT或MRI证实的65例垂体腺瘤，采用经蝶入路或经翼点入路两种手术方法，在显微镜下切除肿瘤。结果经蝶手术44例，全切除29例，次全切除15例；无1例死亡。经翼点入路显微手术21例，全切除13例，次全切5例，部分切除3例；死亡1例(死于多器官功能衰竭)。结论采用显微外科技术，针对肿瘤的特点选择不同的手术入路是提高垂体腺瘤全切率、降低死亡率的关键。
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| 关 键 词： | 垂体腺瘤 手术入路 显微外科 |
| 文章编号： | 1009-153X(2005)03-0167-03 |
| 修稿时间： | 2004-09-07 |
Microsurgical Treatment of Pituitary Adenoma |
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| LI Zhen-bao,XU Shan-shui,PAN Xian-wen,et al.. Microsurgical Treatment of Pituitary Adenoma[J]. Chinese Journal of Clinical Neurosurgery, 2005, 10(3): 167-169 |
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| Authors: | LI Zhen-bao XU Shan-shui PAN Xian-wen et al. |
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| Affiliation: | LI Zhen-bao,XU Shan-shui,PAN Xian-wen,et al . Department of Neurosurgery,Yijishan Hospital,Wannan Medical college,Wuhu Anhui 241001,China[ |
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| Abstract: | Objective To explore the microsurgical treatment of pituitary adenomas. Methods Six-five patients with pituitary adenomas were treated by microsurgery through transsphenoidal or pterional approach. The curative effects of the both the operative approaches were compared. Results Of 44 patients operated on via the transsphenoidal approach, 29 received totally resection of the adenomas, and 15 subtotal. Of 21 patients operated on via the pterional approach, 13 received totally resection of the adenomas, 5 subtotal and 3 partial. One patient died after the operation via the pterional approach. Conclusion The key to increasing rate of total resection and to decreasing death rate is to select an operative approach proper for the tumor characters in the patients with pituitary adenomas.[ |
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| Keywords: | Pituitary adenoma Operative approach Microsurgery |
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