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目的探讨垂体瘤术后残留再次手术的方法与效果。方法回顾性分析垂体瘤术后残留再次手术病例,分析患者的临床表现、手术治疗及其预后。结果自2000年1月至2008年5月,我院共收治1412例垂体瘤病例。其中,15例术后肿瘤残留的患者短期内接受了再次手术。包括初次经鼻蝶垂体瘤切除术,再次开颅肿瘤切除术4例;初次经鼻蝶手术,再次经鼻蝶手术9例;初次开颅手术,再次经鼻蝶手术2例。再次手术后肿瘤全切除7例,次全切除8例。随访3.5～10.2年。结论垂体瘤术后残留再次手术是安全,有效的。
Objective To explore the method and effect of residual reoperation after pituitary tumor. Methods Retrospective analysis of cases of residual reoperation after pituitary tumor surgery, analysis of clinical manifestations, surgical treatment and prognosis. Results From January 2000 to May 2008, our hospital treated a total of 1412 cases of pituitary tumors. Among them, 15 patients with residual tumor after surgery underwent short-term reoperation. Including the first transsphenoidal pituitary tumor resection, re-craniotomy tumor resection in 4 cases; the first transsphenoidal surgery, nasal surgery again in 9 cases; initial craniotomy, nasal surgery again in 2 cases. Total resection of the tumor after surgery in 7 cases, subtotal resection in 8 cases. Follow-up 3.5 to 10.2 years. Conclusion Residual reoperation after pituitary tumor surgery is safe and effective.