| 神经内镜下再次经蝶窦手术治疗复发性垂体腺瘤 |
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| 引用本文： | 王清,鲁晓杰,严正村,季卫阳,陈开来,丁鸭锁.神经内镜下再次经蝶窦手术治疗复发性垂体腺瘤[J].中国神经肿瘤杂志,2009,7(1):29-32. |
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| 作者姓名： | 王清 鲁晓杰 严正村 季卫阳 陈开来 丁鸭锁 |
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| 作者单位： | 南京医科大学附属无锡二院神经外科,江苏无锡214002 |
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| 摘 要： | 背景与目的：近年来随着内镜光学技术的发展和五官科医生在鼻窦手术中广泛使用内镜．内镜在经蝶窦垂体腺瘤外科中的应用逐渐被熟知。本研究主要探讨神经内镜下再次经蝶窦手术治疗复发垂体腺瘤的安全性及临床疗效。方法：对12例经蝶手术后复发的垂体瘤患者进行了内镜下再次经蝶切除术。观察其安全性、肿瘤切除情况及手术并发症等。结果：内镜下全切除8例。次全切除2例。大部分切除2例。本组术后无死亡及严重并发症，常见并发症为一过性尿崩症、电解质紊乱和脑脊液鼻漏，术后83％（10／12）患者临床症状明显改善．12例随访6个月至5年，疗效满意。结论：神经内镜下再次经蝶窦手术治疗复发性垂体腺瘤是安全有效的．而熟练的内镜技术和可靠的颅底重建是手术成功的关键。
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| 关 键 词： | 经蝶窦 神经内镜 复发 垂体腺瘤 |
Repeated Endoscopic Endonasal Transsphenoidal Surgery for Recurrent Pituitary Adenomas |
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| Qing Wang,Xiao-jie Lu,Zheng-cun Yan,Wei-yang Ji,Kai-lai Chen,Ya-suo Ding.Repeated Endoscopic Endonasal Transsphenoidal Surgery for Recurrent Pituitary Adenomas[J].Chinese Journal of Neuro-Oncology,2009,7(1):29-32. |
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| Authors: | Qing Wang Xiao-jie Lu Zheng-cun Yan Wei-yang Ji Kai-lai Chen Ya-suo Ding |
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| Institution: | Qing Wang,Xiao-jie Lu,Zheng-cun Yan,Wei-yang Ji,Kai-lai Chen,Ya-suo Ding Department of Neurosurgery,Wuxi Second Hospital Affiliated Nanjing Medical University,Wuxi 214002,P.R.China |
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| Abstract: | BACKGROUND &OBJECTIVES:Endoscope is widely used in transsphenoidal pituitary surgery as a result of advances in optical technology.In this study,we evaluated the clinical safety of repeated endoscopic endonasal transsphenoidal surgery for recurrent pituitary adenomas.METHODS:Twelve patients with recurrent pituitary adenomas were operated through endoscopic repeated endonasal transsphenoidal approach.The safety,extent of removal and complications were evaluated.RESULTS:Total removal of pituitary adenomas was... |
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| Keywords: | Transsphenoidal approach Endoscopy Recurrence Pituitary adenoma |
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