内镜辅助下经鼻蝶显微手术切除垂体瘤94例分析

Pituitary adenomas microsurgery assisted by neuroendoscopic endonasal transsphenoidal

目的探讨神经内镜辅助下经单鼻孔蝶窦入路垂体腺瘤切除方法的优缺点。方法回顾总结2008-03~2011-03 94例内镜辅助下的显微手术病人的临床资料。分析术式的优缺点和克服其弊端的方法。结果 94例垂体腺瘤肿瘤全切除74例（78.7%）,次全切除18例（19.1%）,部分切除2例（2.1%）。结论神经内镜辅助下经鼻蝶显微手术切除垂体瘤技术简便、安全和有效。在经鼻蝶人路过程及鞍区肿瘤切除方面具有优势,可提高肿瘤全切率。

Objective To study microsurgical techniques assisted by neuroendoscopic endonasal transsphenoidal approach for pituitary adenomas.Methods Clinical data of 94 pituitary adcnomas petients treated by microsurgical assisted by endoscopic transsphenoidal approach between March 2008 and March 2011 were analyzed retrospectively.Results Total resection of adenuma was achieved in 74（78.7%）cases,subtotal resection in 18（19.1%） cases and part resection in 2（2.1%）cases among neuroendoscopic technique series.Conclusion Microsurgical techniques assisted by neuroendoscopic endonasal transsphenoidal approach for pituitary adenomas are convenient,safe and effective.This technique could provide a more minimal invasion and excellent exposure for pituitary adenomas,and raise the rate of complete removal of tumors.