单鼻孔经蝶内镜下鞍区肿瘤手术效果的临床分析

目的：分析单鼻孔经蝶内镜下鞍区肿瘤手术的临床效果。方法资料随机选取2010年6月-2013年6月本院行择期手术治疗的120例鞍区肿瘤患者，按照随机数字表法分为两组，对照组60例予以开放性手术治疗，研究组60例予以单鼻孔经碟内镜下手术治疗，分析两组患者围术期相关性指标、肿瘤切除及症状改善情况。结果研究组患者手术时间、术中出血量及住院时间均明显少于对照组，患者肿瘤全切除38（63.33%）例明显多于对照组20（33.33%）例，部分切除6（10.00%）例明显少于对照组14（23.33%）例；研究组患者头晕、闭经、阳痿、泌乳及视力恢复等临床症状改善情况均明显多于对照组，比较差异均具有统计学意义（P〈0.05）。结论单鼻孔经蝶内镜下鞍区肿瘤手术的临床效果显著，有效改善患者的临床症状，提高手术治疗有效率。

Clinical analysis of single nostril by the butterfly effect of endoscopic surgery of sellar tumors

Objective To analysis by the butterfly single nostril endoscopic surgery sellar tumors clinical effect. Methods Data were randomly selected in June 2010 June 2013 hospital elective surgery 120 cases of sellar tumors, according to the random num-ber table is divided into two groups, a control group of 60 patients to be open surgery, the study group 60 cases after the dish to be a single nostril endoscopic surgery, the two groups were analyzed perioperative correlation index, tumor resection and improvement of symptoms. Results Study patients operative time, blood loss and hospital stay were significantly less than the control group, 38 patients with tumor resection （63.33%） was significantly more than the control group, 20 cases （33.33%） cases, partial resection in 6 （10.00%） cases significantly less than the control group, 14 （23.33%） patients; dizziness patient study group, amenorrhea, impo-tence, lactation and clinical symptoms such as visual acuity improvement was significantly more than the control group, the differ-ences were statistically significant （P〈0.05）. Conclusion Butterfly clinical results within a single nostril endoscopic surgery via sellar tumors significantly improve clinical symptoms, improve surgical treatment efficiency.