经口鼻蝶入路显微外科手术治疗垂体腺瘤(附22例报告)

Microsurgery of trans-oral-nasal-sphenoidal approach in the treatment of pituitary adenomas:Report of 22 cases

目的 :观察经口鼻蝶窦入路显微外科手术治疗垂体腺瘤的效果。方法 :对 2 2例垂体腺瘤的病人采取经口鼻蝶窦入路显微外科手术治疗。结果 :肿瘤全切除或近全切除 17例 ,大部分切除 4例 ,部分切除 1例 ;术后一过性尿多 4例 ,脑脊液鼻漏 1例 ,无死亡。结论 :经口鼻蝶窦入路手术死亡率、致残率和并发症较经颅入路均低 。

Objective:To observe the effect of microsurgery of trans-oral-nasal-sphenoidal approach in the treatment of pituitary adenomas.Methods:Microsurgery of trans-oral-nasal-sphenoidal approach were adopted in 22 patients with pituitary adenomas.Results:Total or subtotal resection were done in 17 cases,most removal in 4 cases,partial removal in 1 case.4 cases had transient urorrhagia,one had cerebrospinal rhinorrhea,no death in all operations.Conclusions:Mortality,morbidity and complication which were done via oral-nasal-sphenoidal approach are lower as compared with via skull approach.Furthermore complication are controlled easily.