论文部分内容阅读
目的探讨经单鼻孔蝶窦入路显微外科手术切除垂体腺瘤的手术技巧以及并发症的处理方法。方法回顾性分析我院手术治疗的51例垂体腺瘤患者。对比手术前后视力视野变化、垂体内分泌变化,并分析并发症的发生率及相关影响因素。结果经单鼻孔蝶窦入路显微外科手术全切除垂体腺瘤46例、次全切5例,视力症状改善(改善率82.1%),内分泌功能改善,术后出现尿崩症12例(2周后均恢复),术中脑脊液漏9例(经同期手术修补后痊愈)。结论经单鼻孔蝶窦入路切除垂体腺瘤具有安全、简便、微创等优点,是大部分垂体腺瘤的首选手术方式。
Objective To investigate the surgical techniques and complications of microsurgical resection of pituitary adenoma by single nostril sphenoid sinus approach. Methods Retrospective analysis of 51 cases of pituitary adenoma surgery in our hospital. Visual acuity changes before and after surgery, pituitary endocrine changes, and analyze the incidence of complications and related factors. Results 46 cases of pituitary adenomas were completely resected by microsurgery through the single nostril sphenoid sinus surgery. The subtotal resection was performed in 5 cases. The visual acuity was improved (improvement rate was 82.1%). The endocrine function was improved. There were 12 cases of diabetes insipidus after operation Week after recovery), intraoperative leakage of cerebrospinal fluid in 9 cases (recovered after surgery over the same period). Conclusion Single nostril sphenoid sinus approach for resection of pituitary adenoma is safe, simple and minimally invasive. It is the first choice for most pituitary adenomas.