经鼻蝶窦入路垂体腺瘤切除术

Removing pituitary Adenoma by nostril Transsphenoidal Approach

目的总结采用经鼻蝶窦入路切除垂体腺瘤的手术经验，探讨适应证选择、技术要点及并发症防治。方法回顾性总结经鼻蝶窦入路切除8例垂体腺瘤患者的病例资料，微腺瘤1例、大腺瘤6例、巨大腺瘤1例。结果8例均手术全切除，1例3年后复发再次手术治愈。随访3月至3年均治愈，术后3个月以上MRI复查未见肿瘤复发。结论经鼻蝶窦入路显微切除垂体腺瘤，具有手术创伤小、时间短、术后恢复快等优点，是治疗垂体腺瘤安全、有效的方法。

Objective Summary of the use of nasal transsphenoidal approach for resection of pituitary adenoma surgery experience, choose to explore the indications, techniques and prevention of complications. Methods Retrespectivecy nasal transsphenoidal approach for pituitary adenoma resection eight eases of clinical data of patients. Micro-one cases of adenoma, six cases of macroadenoma, a huge one cases of adenoma. Results Were eight cases of surgical excision. 1 eases of recurrence 3 years later, re-operation to cure. Follow-up in March to 3 annual cured for more than 3 months after MRI review no tumor recurrence. Conclusion The microsurgery through nostril transsphenoidal approach was a safe, effective method for treatment of pituitary adenomas,has advantages of rnininsal trauma, short operative duration and quick postoperative recovery.