论文部分内容阅读
目的 为了进一步提高垂体腺瘤卒中的治疗效果。方法 总结分析 38例垂体腺瘤卒中的临床表现和治疗经过。全部病例均在显微条件下进行手术 ,其中经口鼻蝶入路 2 9例 ,经额下或翼点入路 9例。结果 本组肿瘤全切除 2 9例 ,次全切除 6例 ,大部切除 3例 ,无手术死亡。术后临床症状和体征均有明显的改善 ,其中视力视野的好转尤为显著。结论 病史和 CT或 /和 MR是明确诊断该病的最佳方法 ,及时的手术清除病灶是提高疗效的有效措施
Objective To further improve the therapeutic effect of pituitary adenoma stroke. Methods The clinical manifestations and treatment of 38 cases of pituitary adenoma were analyzed. All cases underwent microsurgery. Among them, 29 cases were treated by oral and nasal approach, and 9 cases were treated by frontal or pterional approach. Results The total resection of the tumor in 29 cases, subtotal resection in 6 cases, most of the resection in 3 cases, no operative death. Postoperative clinical symptoms and signs were significantly improved, of which visual field improvement is particularly significant. Conclusion The history and CT or / and MR are the best methods to diagnose the disease clearly. Timely surgery to clear the lesion is an effective measure to improve the curative effect