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目的:对比观察经鼻蝶显微技术下入路与经鼻蝶神经内窥镜下入路手术切除垂体腺瘤的疗效,探讨切除垂体瘤的良好辅助方法。方法:78例患者分别采用经鼻蝶显微技术下入路和经鼻蝶神经内窥镜下入路手术切除垂体腺瘤。结果:与经鼻蝶显微技术下入路比较,经鼻蝶神经内窥镜下入路手术者住院时间短、肿瘤全切除率高、鼻出血率低、术后并发症发生率低(P<0.05),但是经鼻蝶神经内窥镜下手术切除肿瘤时术中出血需显微镜下止血。结论:经鼻蝶神经内窥镜下手术入路是垂体腺瘤切除的良好手术切除垂体瘤的入路,如有条件也可将二者联合应用取长补短。
OBJECTIVE: To compare the curative effect of surgical removal of pituitary adenoma under nasal butterfly microsurgery and transsphenoidal nerve endoscopic surgery, and to explore a good adjuvant method for resection of pituitary adenoma. Methods: Totally 78 patients underwent transnasal microsurgery and transsphenoidal nerve endoscopic surgery for pituitary adenoma. Results: Compared with transnasal microsurgery, the length of hospital stay, the total tumor removal rate, the low rate of nasal bleeding and the postoperative complication rate <0.05). However, intraoperative bleeding during microsurgical resection of the nasal nerve by endoscopic nerve endoscopy requires microscopic hemostasis. Conclusion: Transnasal nerve endoscopic surgery is a good surgical removal of pituitary adenoma resection of pituitary adenoma approach, if the conditions can also be combined to learn from each other.