论文部分内容阅读
目的对比观察单鼻孔经蝶(鼻蝶)入路与经颅入路手术切除垂体腺瘤的疗效,探讨垂体腺瘤的良好手术入路。方法48例患者分别采用经鼻蝶入路和经颅入路手术切除垂体腺瘤。结果与经颅入路手术者比较,经鼻蝶入路手术者手术时间短、出血量少、住院时间短、肿瘤全切除率高、激素改变明显、术后并发症发生率低(P均<0.05)。结论经鼻蝶入路是垂体腺瘤切除的良好手术入路。
Objective To compare the curative effect of single nostril transsphenoidal approach with transcranial approach in the treatment of pituitary adenoma and to explore a good surgical approach to pituitary adenoma. Methods 48 patients were treated by transnasal approach and transcranial approach for resection of pituitary adenoma. Results Compared with those undergoing transcranial approach, the operation time of transnasal approach was shorter, the amount of bleeding was less, the length of hospital stay was shorter, the total resection rate was higher, the hormones changed significantly, and the incidence of postoperative complications was lower (P < 0.05). Conclusion Transnasal approach is a good surgical approach for pituitary adenoma resection.