神经内镜控制下经鼻-经蝶手术入路切除垂体腺瘤

Endoscope-controlled surgery endonasal transsphenoidal approach for pituitary adenomas

摘要:控制下单鼻孔经蝶手术入路切除垂体瘤的适应证、手术方法、手术技巧及其优点。方法经内镜控制下单鼻孔经蝶手术入路手术治疗垂体瘤患者9例。结果肿瘤全切7例,次全切2例。手术效果良好。并发症2例:脑脊液漏及颅内感染1例,尿崩、高热、意识障碍1例。无死亡。结论神经内镜控制下单鼻孔经蝶手术入路切除垂体瘤较传统手术方法具有微创、照明良好、视野开阔、并发症较少等优点,是垂体瘤手术治疗的发展方向。

Objective: To determine the indications, approaches, techniques and advantages of Endoscope-controlled surgery endonasal transsphenoidal approach for pituitary adenomas. Methods: 9 pituitary adenomas were resected trans-single nose by endoscope controlled surgery. Results: 7 of the pituitary adenomas were recected and 2 partial recected. 1 complicated with cerebrospinal fluid leaking and intracranial infection.1 with diabetes, fever and coma. No death in the group. Conclusions: The endoscopic endonasal transsphenoidal approach appears to be less traumatic than the traditional microsurgical approach, and has better light and field of vision, and reduces complications. The traditional microsurgical approach will be replaced by endoscopic approach in the near future.