老年人垂体腺瘤的显微手术治疗

目的：探讨老年人垂体腺瘤的术式选择与疗效。方法：回顾性分析24例老年垂体腺瘤显微手术治疗的临床资料，其中15例经蝶窦入路显微手术治疗，9例经颅入路显微手术治疗。结果：本组全切除15例，次全切除6例，大部分切除3例，术后无死亡。术后出现并发症和合并症情况，经颅组多于经蝶组。结论：在严密的围手术期处理下，按病情选择合适的术式，老年人垂体腺瘤才能获得较好的疗效。而经蝶窦手术有合并症和并发症较少的优点。

Microsurgery treatment of senile pituitary adenomas

Objective:To discuss selecting of operative approach and curative effect of senile pituitary adenomas. Methods: 24 senile cases with pituitary adenomas, which underwent microsurgical treatment, were reviewed. Results: Total resection was achieved in 15 cases, subtotal in 6 cases, partial in 3 cases. No surgical mortality. As to incidences of complication and incorporated disease after operation, transcranial team is more than transsphenoidal team. Conclusions: With tight perioperative management and choosing appropriate operative approach, better curative effect in senile pituitary adenomas could be gotten. And transsphenoidal microsurgery has a virtue of fewer incidences of complication and incorporated disease.