老年人垂体腺瘤的诊断和治疗

目的探讨老年人垂体腺瘤的诊断与治疗.方法回顾性分析24例老年垂体腺瘤显微手术治疗的临床资料,其中15例经蝶窦入路显微手术治疗,9例经颅入路显微手术治疗.结果本组全切除15例,次全切除6例,大部分切除3例,术后无死亡.术后出现并发症和合并症情况,经颅组多于经蝶组.结论在严密的围手术期处理下,按病情选择合适的术式,老年人垂体腺瘤才能获得较好的疗效.而经蝶窦手术有合并症和并发症较少的优点.

Diagnosis and treatment of senile pituitary adenomas

Objective To discuss selecting of operative approach and curative effect of senile pituitary adenomas. Methods 24 senile cases with pituitary adenomas, which underwent microsurgical treatment, were reviewed. Results Total resection was achieved in 15 cases, subtotal in 6 cases, partial in 3 cases. No surgical mortality. As to incidences of complication and incorporated disease after operation, trans-cranial team is more than transspbenoidal team. Condusions With tight pefi-operative management and choosing appropriate operative approach, better curative effect in senile pituitary adenomas could be gotten. And transspbenoidal microsurgery has a virtue of fewer incidences of complication and incorporated disease.