改良口鼻蝶入路显微手术治疗垂体腺瘤

Improved transsphenoidal approach in microsurgical treatment of pituitary adenomas

目的介绍改良口鼻蝶入路显微手术治疗垂体腺瘤的经验及方法。方法对26例垂体腺瘤采用改良口鼻蝶入路显微手术切除肿瘤,术中只分离右侧鼻黏膜及保留软骨性鼻中隔。结果 15例全切,7例次全切,4例大部分切除,无死亡及病残发生。结论改良口鼻蝶入路既达到手术显露的目的,又能减少手术时间及剥离鼻黏膜造成的损伤,保留了鼻中隔,有效减少术后并发症的发生。

Objective To study the clinical curative effects of endovascular embolization for cerebral aneurysms.Methods 35 patients with intracranial aneurysms were embolized by electrolytic detachable microcoils in recently two years.Results Twenty-two patients achieved 100% occlusion,11 achieved 90%-99% occlusion,two achieved lower than 90% occlusion.Two cases hemorrhaged during the process of endovascular therapy.One patient re-bleeded six months postoperation.Conclusion Endovascular embolization has the excellence of microinvasive,safe,excellent curative effects in short-term.Balloon assisted embolization will improve the occlusion extent and lower the rate of complications,especially for wide necked aneurysms.