| 经单侧鼻孔蝶窦入路切除垂体腺瘤 |
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| 引用本文： | 严荣宝,董伟毅,李士其,张雪明,张天锡. 经单侧鼻孔蝶窦入路切除垂体腺瘤[J]. 立体定向和功能性神经外科杂志, 2005, 18(2): 102-103 |
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| 作者姓名： | 严荣宝 董伟毅 李士其 张雪明 张天锡 |
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| 作者单位： | 200031,上海徐汇区中心医院神经外科;复旦大学附属华山医院神经外科;上海神经外科专家快诊快治中心 |
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| 摘 要： | 目的 探讨经单侧鼻孔蝶窦人路手术治疗垂体腺瘤的方法。方法分析我科5年来经鼻蝶窦人路切除垂体腺瘤86例，其中经鼻前庭-中隔-蝶窦4例，单侧鼻孔-中隔-蝶窦72例，直接经蝶10例，所有病人均CT或MRI确诊，术中辅以显微镜或内镜行肿瘤切除。结果术后无严重手术并发症，住院天数和费用均较同期经唇下-中隔-蝶窦人路病人短。结论经单侧鼻孔蝶窦人路切除垂体腺瘤是一种安全有效的微侵袭手术方法。
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| 关 键 词： | 垂体腺瘤 内镜 显微外科手术 |
| 文章编号： | 1008-2425(2005)02-0102-02 |
| 修稿时间： | 2004-12-25 |
Transnaso-sphenoidal approach of pituitary adenoma |
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| Yan Rongbao,Dong Weiyi,Li Shiqi,et al.. Transnaso-sphenoidal approach of pituitary adenoma[J]. Chinese Journal of Stereotactic and Functional Neurosurgery, 2005, 18(2): 102-103 |
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| Authors: | Yan Rongbao Dong Weiyi Li Shiqi et al. |
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| Affiliation: | Yan Rongbao,Dong Weiyi,Li Shiqi,et al.Department of Neurosurgery,XuHui District Central Hospital,Shanghai 200031 |
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| Abstract: | Objective Objective The transnaso-sphenoidal approach of pituitary adenomas were introduced.Methods To analysis 86 cases of pituitary adenomas via transnaso-sphenoidal removal from January 1999 to September 2004.Preoperative diagnosis was made by CT or MRI scan.Operations were performed with microscope or endoscope..4 of patients were performed via endonasal unilateral-septal transsphenoidal approach and 72 via tranaso-vestibulo-sphenoidal approach and 10 via direct transsphnoidal approach.Results Operative morbidity was lower and there was no operative mortality.The hospitalization cost is also lower than that via sublabio-septo-sphenoidal approach.Conclusion Transnaso-sphenoidal approach of pituitary adenoma is a safe and effective method. |
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| Keywords: | Pituitary neoplasms Endoscope Microsurgery |
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