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目的 探讨巨大型垂体肿瘤经眉弓锁孔切除手术疗效。方法 沿右侧眉弓 (眉毛内 )作手术切口 ,额弓骨铣成 3cm× 2 .5cm大小的骨孔形成锁孔 ,在显微条件下分块切除肿瘤。结果 11例巨大型垂体肿瘤患者 ,肿瘤全切除 8例 ,次全切除 3例 ,术后视力、视野改善 7例 ,无变化 4例 ,并发尿崩 2例。结论 本手术方法创伤小、恢复快 ,疗效满意 ,值得推广。
Objective To investigate the curative effect of giant pituitary tumor by keyhole keyhole excision. Methods A surgical incision was made along the right eyebrow (the inside of the eyebrows). The arch was formed into a keyhole with a size of 3cm × 2.5cm, and the tumor was excised under microscopic conditions. Results In 11 patients with giant pituitary tumor, the tumor was totally resected in 8 cases and subtotal resected in 3 cases. The postoperative visual acuity and visual field were improved in 7 cases, unchanged in 4 cases and complicated with insipidus in 2 cases. Conclusion The operation method is less traumatic, faster recovery and satisfactory curative effect, which is worthy of popularization.