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目的 :分析神经内镜辅助下单鼻孔入路治疗蝶垂体瘤的临床效果。方法 :将2011年10月至2015年6月在我院及西京医院进行垂体瘤切除术的84例患者随机分为两组,对照组采用神经内镜辅助下单鼻孔经蝶窦入路治疗,研究组采用显微镜辅助下单鼻孔经蝶窦入路治疗。对比两组患者的临床指标、生理应激指标及并发症。结果 :研究组患者的手术时间、术中出血量、术后住院时间明显少于对照组,生理应激指标显著优于对照组,并发症发生率显著低于对照组。结论 :神经内镜辅助下经单鼻孔蝶窦入路切除垂体瘤的临床效果良好,是垂体瘤治疗的理想选择。
Objective: To analyze the clinical effect of endoscopic nasal endoscopic single nostril treatment for pituitary tumors. Methods: Eighty-four patients with pituitary adenoma resection in our hospital and Xijing Hospital from October 2011 to June 2015 were randomly divided into two groups. The control group was treated with single nostril transsphenoidal approach with neuroendoscopy. The study group under the microscope assisted single nasal transsphenoidal approach. The clinical indicators, physiological stress indicators and complications of two groups were compared. Results: The operation time, intraoperative blood loss and postoperative hospital stay of study group were significantly less than those of control group. The indexes of physiological stress were significantly better than those of control group. The incidence of complications was significantly lower than that of control group. CONCLUSION: Endoscopic resection of pituitary tumors with the help of endoscopic NOS is a good choice for the treatment of pituitary tumors.