经鼻蝶垂体腺瘤手术预后相关因素的临床研究 |
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引用本文: | 纪涛,王建中.经鼻蝶垂体腺瘤手术预后相关因素的临床研究[J].中国当代医药,2010,17(21):27-28. |
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作者姓名: | 纪涛 王建中 |
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作者单位: | 深圳市第二人民医院神经外科,广东,深圳,518035 |
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摘 要: | 目的:探讨经鼻蝶垂体腺瘤手术预后相关因素。方法:回顾分析本科2008年2月~2009年12月收治垂体腺瘤患者50例的临床资料。结果:垂体腺瘤患者50例通过经鼻蝶入路垂体瘤切除术,肿瘤全切除42例(84.0%),次全切除8例(16.0%)。术后患者病情稳定,平均住院7d,均治愈出院。术后出现并发症12例(24.0%),其中出现尿崩症状4例(8.0%),垂体功能低下2例(4.0%),视力减退2例(4.0%),均对症处理,3个月后恢复正常。病理学检查:50例患者均行光镜检查,42例为嫌色细胞瘤,8例为嗜酸性细胞瘤。结论:垂体腺瘤经鼻蝶窦入路切除术具有创伤小、切除肿瘤范围大、手术效果好,值得临床上推广应用。
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关 键 词: | 鼻蝶 垂体腺瘤 预后相关因素 |
Transsphenoidal pituitary surgery prognostic factors in patients |
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Authors: | JI Tao WANG Jianzhong |
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Institution: | (Neurosurgery Department,The Second People's Hospital in Shenzhen City,Guangdong Province,Shenzhen 518035) |
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Abstract: | Objective:To explore the nasal butterfly pituitary adenomas prognostic factors related operation.Methods:Review of course in February 2008 to December 2009,50 patients with pituitary adenoma treated in clinical data.Results:50 patients with pituitary adenoma by transsphenoidal pituitary tumor resection,tumor totally removed in 42 cases (84.0%),subto tal resection in 8 cases (16.0%).Stable condition after surgery,the average hospital stay 7 days,were cured.Postoperative complications in 12 cases (24.0%),in which diabetes insipidus in 4 cases (8.0%),pituitary insufficiency in 2 cases (4.0%),vision loss in 2 cases (4.0%),symptomatic treatment after 3 months back to normal.Pathological examination:50 patients underwent light microscopic examination,42 were chromophobe cell tumors,8 cases of eosinophilic tumor.Conclusion:Transsphenoidal pituitary adenoma resection approach with less trauma,resection of the tumor range, good effect of surgery, should be widely applied clinically. |
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Keywords: | Transsphenoidal Pituitary adenoma Prognostic factors |
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