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目的探讨、总结神经内镜辅助下,单鼻孔经蝶窦入路手术方式垂体腺瘤切除治疗效果。方法回顾总结81例近期手术治疗临床资料,总结手术后治疗经验,比较分析神经内镜辅助下手术的优缺点。结果术前视力、视野受损56例,术后均有不同程度的改善,头痛20例,术后头痛消失,闭经泌乳27例,术后22例月经恢复正常,5例泌乳素仍高继续口服溴隐停,13例生长激素腺瘤术后生长激素恢复正常,肢端肥大有所减轻。结论经单鼻孔蝶窦垂体瘤神经内镜下手术技术简便、安全和有效。
Objective To explore and summarize the effect of endoscopic resection with single nostril transsphenoidal surgery for pituitary adenoma. Methods The clinical data of 81 cases of recent surgical treatment were reviewed and summarized. The experience of postoperative treatment was summarized and the advantages and disadvantages of endoscopic assisted neurosurgery were compared. Results The preoperative visual acuity and visual field were impaired in 56 cases. There were 20 cases of postoperative headache, headache disappeared, 27 cases of amenorrhea after lactation, 22 menstruation returned to normal after operation, and 5 cases of prolactin remained high Bromocriptine, 13 cases of growth hormone adenoma return to normal growth hormone, acral hypertrophy has been alleviated. Conclusions The endoscopic surgery of single-nostril pituitary adenomas is simple, safe and effective.