| 垂体肿瘤91例临床分析 |
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| 引用本文： | 唐文国,余定庸,漆建,罗仁国.垂体肿瘤91例临床分析[J].中华神经医学杂志,2003,2(2):90-91. |
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| 作者姓名： | 唐文国 余定庸 漆建 罗仁国 |
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| 作者单位： | 川北医学院附属医院神经外科,四川,南充,637000 |
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| 摘 要： | 目的 探讨垂体腺瘤外科手术治疗方法及经验。方法 对85例垂体腺瘤，据肿瘤的大小分别采用经蝶，经额下，经翼点三种手术入路，并在显微镜下实施手术治疗。结果 85例垂体腺瘤全切78例。近全切8例。大部切除2例；无死亡，术后一年随访，复发6例。结论 大型垂体腺瘤因部分质韧，与周围粘连，经翼点手术是提高全切率，降低复发率，减少副损伤及并发症的有效方法。
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| 关 键 词： | 垂体腺瘤 显微手术 手术入路 |
| 文章编号： | 1671-8925(2003)02-090-02 |
| 修稿时间： | 2002年11月21 |
Clinical analysis of 91 cases with pituitary adenomas |
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| TANG Wenguo,YU Dingyong,QI Jian,LUO Renguo.Clinical analysis of 91 cases with pituitary adenomas[J].Chinese Journal of Neuromedicine,2003,2(2):90-91. |
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| Authors: | TANG Wenguo YU Dingyong QI Jian LUO Renguo |
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| Institution: | TANG Wenguo,YU Dingyong,QI Jian,LUO Renguo
Department of Neurosurgery,Affiliated Hospital,North-Sichuan Medical College,Sichuan 637000,China |
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| Abstract: | Objective To introduce experience in the treatment of 91 cases of pituitary adenomas. Methods 85 cases of pituitary adenomas were studied retrospectively. The tumors were classified into three types according to their dimensions. The tumors were removed with transsphenoidal, transsubfrontal and transptenonal approaches under microscope. Results Total removal was achieved in 78 cases, subtotal in 8, no severe complications were found and no deaths occurred. Conclusion The right choice of transpterional approaches can improve the rate of total tumor removal and decrease the complications and recurrences. |
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| Keywords: | pituitary adenomas microsurgery approach |
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