显微镜下经单鼻孔蝶窦入路切除垂体瘤的临床价值分析

Analysis of the Clinical Value of Pituitary Adenoma Resection by Endonasal Transsphenoidal Approach

目的分析显微镜下经单鼻孔蝶窦入路切除垂体瘤的临床价值。方法回顾我院近几年来收治的50例垂体瘤患者临床资料,均行显微镜下经单鼻孔蝶窦入路切除术,分析患者治疗效果。结果 50例垂体瘤患者手术均成功实施,所有患者症状改善明显,术后无1例死亡,未出现脑水肿、鼻中隔穿孔、视神经损伤、鼻腔粘膜粘连等并发症。14例患者多饮多尿,经垂体后叶素等药物对症处理后消失,其余患者无并发症发生。结论显微镜下经单鼻孔蝶窦入路切除垂体瘤效果显著,创伤小,可促进患者较快康复。

Objective To analyze the clinical value of pituitary adenoma resection by endouasal transsphenoidal approach.Methods In our hospital in reccnt years treated 50 cases of pituitary adenomas in patients with clinical data, were performed under the microscope by single nostril transsphenoidal resection, patients with curative effectanalysis.Results 50 cases of pituitary tumor patients were performed operation, all the patients symptoms improved significantly, I cases died after operation, and no cerebratedema, perforation of nasal septum, optic nerve injury, the nasal mucosa adhesion cnmplicatiou.14 patients with polydipsia and polyuria, by pituitrin drug symptomatic treatment disappeared, no complications occurred in the remaining patients.Conelusiori Under the microscope by single nostril transsphenoidaI resection of pituitary adenoma withobvious effect, small trauma, aster recovery can promote patient.