摘要
本文报告经口鼻蝶入路,显微手术切除垂体腺瘤共44例,经此入路不但能切除微腺瘤,对突破鞍膈向鞍上池发展肿瘤,用蛛网膜下腔置管加压注入生理盐水亦能完全摘除肿瘤。
The results of transoronasosphenoidal microsurgical excision of pituitary adenomas in44 cases were reported. The authors considered that this type of transsphenoidal approach and microsurgieal technique would be the operative procedure of choice in the treatment of the majority of cases of pituitary adenomas. Because of the good exposure afforded by this approach, all tumours could be selectively removed as completely as possible. The bleeding caused by this approach was minimal and the postoperative eases were all uneventful except for a few mild complications. During the postoperative period all patients with visual disorders and endocrinologic abnormalities improved in various degrees. There was no oparative mortality in this series of cases.
关键词
垂体腺瘤
口鼻蝶
显微外科
transoronasosphenoidal approach
pituitary adenoma
microsurgery.