69例垂体肿瘤经鼻蝶窦手术入路的探讨

Study of 69 Cases Pituitary Neoplasm Resection Through Nose and Sphenoidal Sinus

69例垂体肿瘤经鼻蝶窦入路手术,采用鼻小柱“V”型切开,术中保留鼻中隔软骨,将取出的筛骨垂直板及部分犁状骨骨片作为修补鞍底之材料,余下部分仍复回原位,以保持正常生理解剖结构。对有出血倾向者于鞍底处置塑胶管引流。69例手术均取得满意的疗效,无严重并发症及死亡病例。笔者对该入路进行了有益的改进,同时对并发症的预防及肿瘤复发后再经此入路手术等问题进行了探讨。

This study was based on 69 cases of pituitary neoplasm resection through nose and sphenoidal sinus. During the operation. We adopted a 'V' formed columella nasi incision to resect pituitary neoplasm through columna nasi and sphenoidal sinus Quadrangular carrilage was kept, whereas partial cribrum and vomer were taken out as the material for the use of repairing the sella turcica and sphenoidal sinus, at the same time, restoring the remaining part to guarantee the nor-mal physiologicaly anatomical structure. A plastic tube was put under the sella turcica as the chan-nel for those who had the tendency of bleeding. Satisf actory results were obtained with no serious complications and death case.