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目的 探讨应用内窥镜经蝶窦入路切除垂体腺瘤的方法及优缺点。方法 自2000年6月～2001年2月对12例垂体腺瘤患者施行内窥镜辅助经蝶窦腺瘤切除手术。经单侧鼻腔鼻中隔入路,在0°角内窥镜下分离鼻粘膜,暴露蝶窦前壁,以中鼻甲下缘和蝶窦开口为界切开蝶窦前壁,打开鞍底,切开硬膜,在内窥镜下探查肿瘤和正常腺体的分界,在手术显微镜下切除垂体腺瘤。结果 术后所肩异常升高的激素水平明显下降,无一例发生严重并发症。结论 内窥镜辅助经蝶窦垂体腺瘤切除术能提供良好的照明和手术视野,是一种安全、可行的手术方法。
Objective To explore the method and advantages and disadvantages of endoscopic transsphenoidal approach for resecting pituitary adenoma. Methods From June 2000 to February 2001, 12 patients with pituitary adenomas underwent endoscopic assisted transsphenoidal adenoma resection. After unilateral nasal septum into the road, nasal mucosa was separated at 0 ° angle endoscope, the sphenoid sinus anterior wall exposed to the lower edge of the middle turbinate and sphenoid sinus cut open the border of the sphenoid sinus anterior, open the saddle, incision Dural, under the endoscope to explore the boundaries between the tumor and the normal gland, resection of the pituitary adenoma under a surgical microscope. Results The level of abnormally elevated hormone in the shoulder decreased significantly, and no serious complications occurred. Conclusion Endoscopic-assisted transsphenoidal pituitary adenoma resection can provide good illumination and surgical field of vision, which is a safe and feasible surgical method.