48例经蝶窦入路切除垂体瘤的临床分析

目的总结经蝶窦入路切除垂体瘤的临床经验及治疗体会。方法分析本院收治的48例行经蝶手术的垂体瘤患者的临床治疗资料并结合目前国际文献报道。结果本组患者肿瘤全切39例,次全切7例,部分切除2例。所有患者有不同程度改善,术后头痛症状均消失,视力、月经紊乱、向心性肥胖、多尿多饮等症状有所改善。结论显微镜下经蝶窦入路手术切除垂体瘤因其创伤小、脑保护好、痛苦少。恢复快等优点已成为垂体瘤外科治疗的主要手术方式。

The clinical analysis of removing pituitary tumor via transsphenoidal approach in 48 cases

Objective To summarize the clinical therapeutic experience of removing pituitary tumor via transsphenoidal approach. Methods Clinical data from 48 patients with pituitary tumor admitted into our hospital and operated via sphenoid sinus were analyzed and together with current international reports. Results The number of total, subtotal, and partial tumor resections were 39 cases, 7 cases, and 2 cases respectively. All patients displayed with varying degrees of improvement after surgery. The symptom of postoperative headache disappeared in all cases. Symptoms like impaired vision, menstrual disorders, central obesity, polyuria, and polydipsia changed for better. Conclusion With advantages of little trauma, good brain protection, little suffering, and quick recovery, removing pituitary tumor via transsphenoidal approach under microscope has become the main method for its surgical treatment.