单鼻孔蝶窦入路显微镜下切除垂体腺瘤

目的探讨经单鼻孔蝶窦入路显微手术切除垂体腺瘤的治疗经验。方法总结11例垂体腺瘤患者采用经单鼻孔蝶窦入路显微手术切除。结果全切除8例，大部分切除3例。1例出现一过性尿崩，1例出现脑脊液鼻漏，保守治疗治愈。平均随访16个月，全切肿瘤未见复发；大部分切除3例行放射治疗，随访见肿瘤缩小。结论经单鼻孔蝶窦入路切除垂体腺瘤具有创伤小、安全、恢复快等优点。正确掌握显微镜使用的方法，术中鞍底准确定位是手术成功的关键。

Single-nostril Transsphenoidal Approach for Pituitary Adenoma

Objective To explore the experience of single-nostril transsphenoidal approach for removal of pituitary adenoma. Methods 11 cases with pituitary adenoma were treated by single-nostril transsphenoidal surgery. Results Total removal was a- chieved in 8 cases, subtotal in 3 cases. After the operations, transient diabetes inslpidus occurred in 1 patients, 1 cases had cere- brospinal rhinorrhea, all were cured. Average follow up time was 16 months, total removal cases wasn＇ t recur,3 cases of subtotal removal were radiotherapied after surgery, Conclusions Single-nostril transsphenoidal approach was a safe and recovery swiftly minimal-invasive approach in the treatment of pituitary adenomas. The key of the operation is the skill of microsurgery technique and exact localization of sella turcica.