大型及巨大型垂体腺瘤的外科治疗

Surgical treatment of large and huge pituitary adenomas

目的 总结大型及巨大型垂体腺瘤外科手术治疗的方法。方法 对 34例大型及巨大型垂体腺瘤分别采用经额下入路 (3例 ) ;经纵裂入路 (14例 ) ;经翼点入路 (8例 ) ;经口鼻蝶入路 (7例 ) ;经眶上锁孔入路 (1例 ) ,内镜下经鼻腔经蝶窦手术 (1例 )实施治疗。结果 依据术中显微镜下所见及术后CT或MRI复查结果 ,31例垂体腺瘤全切 ,3例次全切 ,无明显术后并发症 ,无死亡病例。

Objective To summarize the surigcal treatment of 34 cases of large and huge pituitary adenoma. Methods The tumors were removed by various approaches,such as transsubfrontal approach(3 cases),translongitudinal fissure approach(14 cases),transpterional apprpach(8 cases),transsphenoidal aproach(7 cases),transsupraobital key-hole surgery(1 cases) and endonasal transsphenoidal endoscopic surgery(1 cases). Results Total removal was achieved in 31 cases,subtotal in 3,without any severe complications or dead cases. Conclusion Microsurgery and endoscopic surgery are the satisfactory treatment for pituitary adenoma.