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目的探讨老年人垂体腺瘤（ＳＰＡ）的手术疗效。方法总结经ＣＴ扫描或ＭＲＩ确诊的５６例ＳＰＡ经蝶显微外科治疗的临床资料，３５例经唇下－鼻中隔－蝶窦入路、２１例经鼻前庭－鼻中隔－蝶窦入路行肿瘤切除术。结果本组微腺瘤７例，大腺瘤３０例，巨大腺瘤１９例，术后无死亡。４８例获长期随访（平均３．５年），４１例恢复良好；７例术后平均３．４年肿瘤复发，其中２例再次手术，５例采用药物、放疗或放射外科治疗，于３个月时复查见患者恢复较为满意。结论采取经蝶显微外科治疗ＳＰＡ，是一种安全、有较的方法
Objective To investigate the surgical effects of elderly patients with pituitary adenomas (SPA). Methods The clinical data of 56 cases of SPA transsphenoidal microsurgery diagnosed by CT scan or MRI were summarized. Thirty-five patients underwent tumor resection through the sub-labial-nasal septum-sphenoid sinus approach and 21 cases via the nasal vestibular-septal septum-sphenoid sinus approach. Surgery. Results There were 7 cases of microadenomas, 30 cases of macroadenomas, and 19 cases of giant adenomas. No death occurred after surgery. 48 cases received long-term follow-up (mean 3.5 years), 41 cases recovered well; 7 cases had an average 3.4 years of tumor recurrence, of which 2 cases had reoperation and 5 cases were treated with drugs, radiotherapy, or radiosurgery, in 3 cases. The monthly review showed that the patient recovered more satisfactorily. Conclusion Adopting transsphenoidal microsurgery for the treatment of SPA is a safe and comparative method