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目的探讨神经内镜辅助下经蝶垂体腺瘤切除并鞍底重建术的方法和疗效。方法 32例垂体腺瘤患者,在神经内镜辅助下经鼻蝶行垂体腺瘤切除术、鞍底重建术,观察临床疗效。结果在内镜辅助下,32例垂体腺瘤患者行肿瘤切除术;肿瘤全切23例,次全切除7例,大部切除2例。29例行鞍底重建术。术后无脑脊液漏及重大不良并发症发生。结论神经内镜治疗中大型垂体腺瘤优势明显。同时行鞍底重建术,不仅可恢复鞍底解剖结构,还可减少术后并发症的发生,术后恢复更快。
Objective To investigate the method and efficacy of endoscopic transsphenoidal pituitary adenomas excision and sella reconstructive surgery. Methods Thirty - two cases of pituitary adenoma were treated with endoscopic retrosplenial pituitary adenoma and endoscopic reconstruction with endoscope assisted by neuroendoscope. Clinical curative effect was observed. Results Endoscopic assisted resection of tumor in 32 patients with pituitary adenomas was performed in 23 cases, subtotal resection in 7 cases and subtotal resection in 2 cases. 29 cases of saddle end reconstruction. No postoperative cerebrospinal fluid leakage and major adverse complications occurred. Conclusion Endoscopic treatment of large pituitary adenoma has obvious advantages. At the same time saddle reconstruction, not only to restore the anatomic structure of the saddle, but also reduce the incidence of postoperative complications, postoperative recovery faster.