摘要
目的探讨神经内镜在经蝶手术中的临床意义。方法回顾性总结及分析我科自2004年5月~2009年1月5年间神经内镜下经蝶窦垂体瘤切除手术56例患者的临床资料,术前均行影像学(CT和MRI)及血液内分泌激素检查,且均在内镜下经鼻蝶手术切除病变。50例获得6~24个月的随访。结果肿瘤全切例39例(69.6%),次全切除12例(21.4%),部分切除5例(9%)。术后临床症状改善50例(89.2%)。50例随访病人中,4例在术后2年内复发。结论内镜经鼻蝶手术治疗垂体瘤,创伤小,切除肿瘤相对完全,术后病人反应轻,住院时间短。神经内镜下经蝶窦垂体瘤切除手术是一种有效的微侵袭手术方法。
Objective:to explore the clinical significance of neuroendoscopy in transsphenoidalsurgery.Methods:From May 2004 to May 2006,56 cases of pituitary adenoma were treated by endoscopic endonasal transsphenoidal surgery.All the patients received neuroimaging(MRandCT) and endocrinological examinations before the surgery.50 patients got follow-up of 6-24 months.Results: The tumor removal was totalin39(69.6%) cases,subtotalin12(21.4%)and partialin 5(9%).50(98%) patients achieved an improvement in clinical symptom after the operation.Among the 50 follow-up patients,4 had relapse at 2 years after the first operation.Conclusion: The endoscopic transsphenoidal surgeryfor pituitary tumors is of advantages as minimal invasiveness,mild response,complete resection of tumor,and shorter hospitalization time.It is a good choice to cure the pituitary tumors with endoscopic endonasal transsphenoidal approach.
出处
《泰山医学院学报》
CAS
2010年第6期423-425,共3页
Journal of Taishan Medical College
关键词
垂体肿瘤
神经内镜
经鼻蝶外科
pituitaryneoplasms
endoscope
transsphenoidalsurgery