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目的 总结大型及巨大型垂体腺瘤外科手术治疗的方法。方法 对 34例大型及巨大型垂体腺瘤分别采用经额下入路 (3例 ) ;经纵裂入路 (14例 ) ;经翼点入路 (8例 ) ;经口鼻蝶入路 (7例 ) ;经眶上锁孔入路 (1例 ) ,内镜下经鼻腔经蝶窦手术 (1例 )实施治疗。结果 依据术中显微镜下所见及术后CT或MRI复查结果 ,31例垂体腺瘤全切 ,3例次全切 ,无明显术后并发症 ,无死亡病例。结论 显微外科手术及内镜手术是治疗垂体腺瘤的良好方法
Objective To summarize the surgical treatment of large and huge pituitary adenomas. Methods Thirty-four cases of large and giant pituitary adenomas were treated with transabdominal approach (n = 3), longitudinal fissure approach (n = 14), pterional approach (n = 8) 7 cases); the supraorbital keyhole approach (1 case), endoscopic transnasal transsphenoidal surgery (1 case) for treatment. Results According to the results of intraoperative microscopic examination and postoperative CT or MRI findings, 31 cases of pituitary adenomas were cut completely and 3 cases were subtotally resected. There was no obvious postoperative complications and no deaths. Conclusion Microsurgery and endoscopic surgery are good methods for the treatment of pituitary adenoma