荧屏监视下经鼻蝶窦穿刺治疗鞍内囊性肿瘤

目的探讨鞍内囊性肿瘤的微创疗法及其效果、优缺点及适应证。方法对14例鞍内囊性肿瘤(11例颅咽管瘤,2例复发性垂体腺瘤,1例性质不明)病人在X-线监视下和神经导航监测下进行经鼻蝶窦穿刺抽吸术。结果本组均获得满意疗效,术中、术后未出现严重并发症,术后辅以放疗,经3个月～7年随访,2例症状复发,再次穿刺治疗后好转。结论经鼻蝶窦穿刺治疗鞍内囊性肿瘤操作简便,快捷,创伤小,并发症少,经济,可多次施行。

Screen monitoring transnasosphenoidal puncture for intrasellar cystic tumors

Objective To investigate the effect of transnasosphenoidal puncture for intrasellar cystic tumors, and to discuss its advantages, disadvantages and indications. Methods 14 cases of intrasellar cystic tumors including 11 craniopharyngiomas, 2 recurrent pituitary adenomas and 1 character unknown were treated by transnasosphenoidal puncture excision under X-ray (11 cases) or neuronavigation monitoring. Results All operations were successful and the effects were satisfied, no severe complication was seen and radiotherapy was given postoperatively. With 3 months to 7 years follow-up, recurrence of syndrome was seen in 2 cases, and treated by the same method and satisfying effects were achieved. Conclusion The advantages of transnasosphenoidal puncture for intrasellar cystic tumors is effective, minimally invasive, easy and rapidly to perform, less cost and that can be repeatedly operated for recurrence.