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老年功能性垂体腺瘤手术治疗
引用本文:孙冬弢.老年功能性垂体腺瘤手术治疗[J].中国医药导报,2008,5(1):50-51.
作者姓名:孙冬弢
作者单位:沈阳医学院沈洲医院脑外科,辽宁沈阳,110002
摘    要:目的:评价功能性垂体腺瘤行经蝶窦显微外科手术的安全性和有效性。方法:回顾性分析38例老年功能性垂体腺瘤经蝶窦显微外科治疗的临床资料,所有患者均在显微镜放大8~10倍下切除肿瘤。结果:本组大腺瘤28例,巨腺瘤11例,全切除26例,次全切除10例,大部分切除5例,术后无死亡。随访6个月~3年,肿瘤消失19例,残瘤静止5例,复发再手术2例。结论:经过正确的围手术期处理,经蝶窦显微外科治疗老年功能性垂体腺瘤是一种安全、有效的方法。

关 键 词:老年  经蝶窦  显微外科
文章编号:1673-7210(2008)01(a)-050-02
收稿时间:2007-10-26
修稿时间:2007年10月26

The surgery therapy of functionpituitary adenomas in old patients
SUN Dong-tao.The surgery therapy of functionpituitary adenomas in old patients[J].China Medical Herald,2008,5(1):50-51.
Authors:SUN Dong-tao
Institution:SUN Dong-tao (Thoracic Surgery Department of Shenzhou Hospital of Shenyang Medical College,Shenyang 110002,China)
Abstract:Objective:To assess the safety and effectiveness of transsphenoidal microsurgery on functionpituitary adenomas in old patients.Methods:38 patients with function pituitary adenomas undergone transsphenoidal microsurgical therapy.Results:There were 28 cases of macroadenomas and 11 giant adenomas. Total resection was achieved in 26 cases, subtotal in 10 cases , partial in 5 cases. No surgical mortality. During a follow up peroid of 6 months to 3 years , tumor disappeared in 19 cases , the residuary tumor was stable in 5 cases.Conclusion: Transsphenoidal microsurgery is a safe and effective method for treatment of function pituitary adenomas in old patients. Peri-operative management is very important.
Keywords:Old men  Transsphenoidal  Microsurgery
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