单鼻孔经蝶垂体腺瘤显微切除附20例报告

目的介绍经单鼻孔蝶窦入路显微切除垂体腺瘤的手术方法及经验。方法分析经单鼻孔蝶窦入路显微神经外科手术治疗的20例垂体腺瘤患者的相关临床资料。结果肿瘤全切14例,次全切除4例,部分切除2例。1例出现电解质紊乱,3例出现一过性尿崩,无永久性尿崩,1例出现脑脊液漏。结论单鼻孔蝶窦入路能减少垂体腺瘤手术并发症,降低病死率和伤残率。

Endonasal transsphenoidal surgery for pituitary adenomas -a report of 20 cases

Objective To study the technique and experience of single - nostril transsphenoidal pituitary adenoma microsurgery. Methods The clinical data of 20 patients undergoing transsphenoidal mierosurgery for pituitary adenomas were analyzed. Results Total resection was achieved in 14 cases, subtotal resection in 4 cases and partial resection in 2 cases. After surgery, electrolyte imbalance occurred in 1 case, transient diabetes insipidus in 3 cases and no permanent diabetes insipidus, I case with CSF rhinorrhea. The treatment effect was satisfactory. Conelusion Most patients with pituitary adenoma receive microsurgery. Transsphenoidal surgery significantly reduces mortality and disability rates.