摘要
目的研究向鞍旁扩张的垂体腺瘤手术入路的选择.方法垂体腺瘤患者84例,根据其影像学检查结果按照Knosp的方法进行分级,并对同一级别肿瘤经蝶与经颅两种手术入路在切除率、术后并发症以及随访等方面进行比较.结果经蝶手术对于Knosp 3级以下的肿瘤的切除效果满意.而Knosp 4级以上的肿瘤仍需经颅手术切除.结论经蝶手术适用于Knosp 0～3级的垂体腺瘤患者;对于Knosp 4级以上的垂体腺瘤患者仍需经颅手术切除.
Objective To study the surgical approach to pituitary adenomas spreading to sella.Methods 84 cases of pituitary adenoma were graded according to imaging investigation by Knosp classification.The differences in resection rate,postoperative complications and follow-up of the same grade tumor,which was resected transcranially and transsphnoidally,were analyzed.Results Knosp 0-3 tumor was satisfactorily resected transsphnoidally and Knosp4 tumors should be resected transcranially.Conclusion Transsphnoidal surgery is suitable to Knosp 0-3 pituitary tumor and Knosp4 tumors should be resected transcranially.
出处
《中国综合临床》
北大核心
2005年第3期247-249,共3页
Clinical Medicine of China
关键词
垂体腺瘤
影像学检查
手术入路
Pituitary tumor
Imaging investigation
Surgical approach
