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目的探讨经鼻内窥镜辅助下直接蝶窦入路显微外科垂体瘤切除术的可行性和优越性。方法回顾性分析126例经鼻内窥镜辅助下直接蝶窦入路显微外科垂体瘤切除手术。结果经鼻内窥镜辅助下直接蝶窦入路患者中有80例完全切除肿瘤组织。术后无脑脊液鼻漏和颅内感染,出现一过性尿崩症60例,经治疗后两周均治愈。结论内窥镜辅助下直接蝶窦入路垂体瘤显微切除术是一种安全有效、微创的方法。
Objective To explore the feasibility and superiority of endoscopic microsurgery for pituitary tumor with direct sphenoid sinus approach. Methods We retrospectively analyzed 126 cases of microsurgical pituitary adenoma resection under direct endoscopic sinus surgery. Results 80 patients undergoing endoscopic direct sphenoid sinus surgery completely resected the tumor tissue. Postoperative cerebrospinal fluid rhinorrhea and intracranial infection, there were 60 cases of transient diabetes insipidus, two weeks after treatment were cured. Conclusion Endoscopic assisted splenectomy with direct sphenoid sinus surgery is a safe, effective and minimally invasive method.