单鼻孔蝶窦直接入路切除垂体腺瘤50例分析

Analysis of direct monorhinic transsphenoidal microsurgery treatment of 50 pituitary adenoma pateints.

目的总结经单鼻孔蝶窦直接入路显微手术治疗垂体腺瘤的方法及经验。方法回顾分析了我院经单鼻孔蝶窦直接入路显微切除50例垂体腺瘤的临床资料。结果本组垂体腺瘤全切37例,次全切9例,大部分切除4例,手术时间平均76m in,无死亡病例,患者临床症状较术前均有不同程度改善。结论经单鼻孔蝶窦直接入路切除垂体腺瘤缩短了手术路径及时间,创伤小,疗效肯定,值得临床推广。

Objective To summarize the experience in microsurgical treatnent of pituitary through direct monorhinie transsphenoidal approach. Methods The clinical data of 50 patients with pituitary adenoma treated by direct monorhirdc transsphenoidal microsurgery were analyzed retrospectively. Results Of 50 cases of the pituitary adenomas,37 were totally resected, 9 subtotally and 4 in greater part, the average operative time was 76 min, no deaths, clinical symptoms of patients were improved with varying degrees. Conclusion Monorhinic transsphenoidal directly to the removal of pituitary adenoma surgery to shorten the path and time, less trauma, more effective, worthy of promotion.