内镜单鼻腔蝶窦入路切除垂体腺瘤

目的总结内镜单鼻腔蝶窦入路切除垂体腺瘤临床应用体会。方法对经CT或MRI诊断为垂体腺瘤的12例患者采用经单鼻腔蝶窦入路手术。术中应用观察内镜进入单侧鼻腔,于鼻中隔后1/3处剥离鼻粘膜,将骨性鼻中隔根部离断,推向对侧,暴露蝶窦开口,咬开蝶窦前壁进入蝶窦腔。打开鞍底,分块切除肿瘤。结果12例患者中微腺瘤4例,大腺瘤8例,均达肿瘤全切除,无严重并发症。结论内镜单鼻腔蝶窦入路是一种微创、暴露好、并发症少的切除垂体腺瘤的手术方式。部分患者可局麻下手术。

Objective To evaluate a single intranasal endoscopic transsphenoidal pituitary adenoma clinical experience.Methods The CT,or-MRI diagnosis of pituitary adenoma after 12 patients were treated with a single Endonasal Transsphenoidal Surgery.Endoscopic observation of patients into the unilateral application of the nasal cavity,in the nasal septum after 1/3 spin-off nasal mucosa,the nasal bone broken away from the roots,into the opposite side,exposure sphenoid sinus openings,biting open the anterior wall of sphenoid sinus into the sphenoid sinus cavity.Open the saddle at the end,sub-block to remove the tumor.Results 12 patients,microadenoma in 4 cases,large adenoma in 8 cases,covering a total tumor resection without serious complications.Conclusion Endoscopic Endonasal Transsphenoidal alone is a good exposure to complications of minimally invasive removal of a small pituitary adenoma surgery.Some patients may be under local anesthesia surgery.