摘要
目的:探讨神经内镜技术经单鼻孔-蝶窦入路切除垂体瘤的临床应用及手术技巧。方法:对12例经CT和MRI诊断的垂体瘤患者在神经内镜经单鼻孔入路直视下予以切除。结果:全切9例,近全切3例。术后2例出现一过性脑脊液漏,尿崩3例。4例内分泌检查正常,7例视力好转,无严重并发症发生。结论:内镜单鼻孔经蝶窦入路切除垂体瘤具有良好的深部照明、微创、全景化视野等优点,手术创伤小,并发症少、病人恢复快。
Objective:To investigate the clinical application and the technique of neuroendoscope endonasal - transsphenoidal surgery for pituitary adenomas. Methods: Twelve patients with pituitary adenomas were diagnosed by CT or MRI, treated with neuroendoscope endonasal - transsphenoidal surgery, the tumor was resected under neueosurgicalfloor was exposed. Results: Total removal of the tumors in 9 cases, partial removal in 3, postoperative, transient cerebrospinal fluid leakage occurred in 2 cases ,3cases developed diabetes insipidus ,4 cases were restored the normal hormone level ,7 cases were recovered the eyesight, none of the patients were suffered from permanent complications. Conclusion: neuroendoscope endonasal - transsphenoidal surgery can provide an excellent exposure for the supra - and parasella tumors, minimal invasion and perfectsurgery vision. This approach is a less destructive, less complications, rapid recovery method for the treatment of pituitary adenomas.
出处
《现代肿瘤医学》
CAS
2010年第2期271-273,共3页
Journal of Modern Oncology
关键词
神经内镜
单鼻孔经蝶
垂体瘤
neuroendoscope - assisted
pituitary adenomas
single - nostril transsphenoidal