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目的 :分析总结垂体腺瘤显微外科治疗的经验和效果。方法 :56例采用显微外科治疗并经病理证实的垂体腺瘤病人进行回顾性研究。其中经蝶入路 1 5例 ,经额下或额下～经蝶入路 2 8例 ,经额颞或翼点入路 1 0例。经额 -眶 -蝶联合入路 3例。微腺瘤 4例 ,大腺瘤 52例 ,并对其手术入路的选择、手术技巧进行讨论。结果 :全切除及近全切除肿瘤 4 6例 ,大部分切除 8例 ,部分切除 2例。1例病人手术后死于颅内感染。 2例肿瘤复发需再次手术治疗。结论 :合理的应用显微外科技术和选择适宜的手术入路 ,可显著改善垂体腺瘤的神经外科治疗效果。
Objective: To summarize the experience and effect of microsurgical treatment of pituitary adenoma. Methods: A retrospective study was performed on 56 patients with pituitary adenoma treated by microsurgery and confirmed by pathology. There were 15 cases of transsphenoidal approach, 28 cases of transsphenoidal transection or forehead ~ 10 cases of transsphenoidal approach. Three cases of combined forebrain - butt - butterfly approach. 4 cases of microadenomas, 52 cases of large adenomas, and their choice of surgical approach, surgical techniques were discussed. Results: Total resection and total resection of the tumor 46 cases, the majority of resection in 8 cases, partial resection in 2 cases. One patient died of intracranial infection after surgery. Tumor recurrence in 2 cases required reoperation. Conclusion: Reasonable application of microsurgical techniques and selection of suitable surgical approach can significantly improve the neurosurgical treatment of pituitary adenomas.