神经内镜与显微镜治疗垂体瘤的对比分析

Endoscopic Treatment of Comparative Analysis and Microscopic Pituitary Tumor

目的通过用神经内镜与显微镜经鼻蝶行垂体瘤切除术的对比分析,确定神经内镜与显微镜的优略势。方法将60例垂体瘤患者随机分成2组,分别于神经内镜下经鼻蝶垂体瘤切除术及显微镜下行经鼻蝶垂体瘤切除术。瘤体在2 cm×3 cm×3 cm左右条件下进行对比分析。结果神经内镜下视野宽阔,瘤体暴露充分,副损伤小,瘤体全切率高,复发率明显降低,术后反应小,住院平均时间短,功能恢复亦优于后者。结论神经内镜下经鼻蝶垂体瘤切除术明显优于显微镜下经鼻蝶垂体瘤切除术。

Objective By using neural endoscopic and microscopic transsphenoidal pituitary tumor resection line comparative analysis with a microscope to determine neuroendoscopic slightly superior potential. Methods The 60 patients with pituitary tumors were randomly divided into two groups, respectively Endoscopic transsphenoidal resection of pituitary tumors and microscopic downside transsphenoidal pituitary tumor resection. Tumor in 2 × 3 × 3 cm3 about conditions were analyzed. Results Endoscopic wide field of vi- sion, the tumor was exposed to the full, a small side injury, tumor total resection rate, recurrence rate was significantly lower,little postoperative reaction, the average hospitalization time was short, functional recovery was also superior to the latter. Conclusion Endoscopic transsphenoidal pituitary tumor resection is significantly better than under the microscope transsphenoidal pituitary tumor resection.