期刊文献+

经蝶窦显微外科手术治疗开颅术后复发性垂体腺瘤 被引量:8

Transsphenoidal Re-operation for Residual and Recurrent Pituitary Adenomas after Craniotomy
下载PDF
导出
摘要 目的 探讨开颅术后残留及复发性垂体腺瘤的再次经蝶窦手术。方法 男性7例,女性9例。平均年龄49.9岁。4例为开颅术后残留性垂体腺瘤。12例为开颅术后复发性垂体腺瘤,平均复发时间为3.9年。临床表现视功能障碍14例,头痛6例,垂体功能低下4例。肿瘤1~3cm者6例,3cm以上者10例。垂体无功能腺瘤12例,泌乳素腺瘤3例,生长激素腺瘤1例。均选择经口鼻蝶窦入路再次手术。结果 肿瘤全切除7例,大部分切除6例,部分切除3例。随诊6月~5年,15例病人肿瘤未复发。结论 经额开颅术后残留及复发性垂体腺瘤可选择经蝶窦入路再次手术。 Objective To discuss the transsphenoidal re-operations for residual and recurrent pituitary adenomas after the craniotomy. Methods Sixteen patients underwent the transsphenoidal re-operations for residual and recurrent pituitary adenomas after the craniotomy. Of the 16 patients, 4 had residual adenomas and 12 suffered from recurrent adenomas 3.9 years (on an average) after the first operation. There was visual impairment in 14 cases, headache in 6, hypopituitarism in 4. Tumor size was l-3cm in 6 cases and over 3cm in 10. Twelve patients had non-function pituitary adenomas, 3 prolactinomas and 1 growth hormone adenoma. Results Of the 16 cases, 7 received total removel of the tumor, 6 subtotal and 3 part. The fellow-up for 6 months to 5 years showed that the tumor did riot recur in 15 patients. Conclusion Transsphenoidal re-operations is the best surgical method for the residual and recurrent pituitary adenomas after the craniotomy.
出处 《中国临床神经外科杂志》 2002年第5期258-260,共3页 Chinese Journal of Clinical Neurosurgery
关键词 复发性垂体腺瘤 显微外科手术 治疗 经蝶窦入路 Pituitary adenomas. Recurrent Transsphenoidal approach Surgical operation
  • 相关文献

参考文献2

二级参考文献4

  • 1范静平,廖建春,陆书昌,杨中坚,卢亦成,白如林,丁学华.鼻中隔带蒂粘骨膜瓣修补鞍底脑脊液漏[J].中国耳鼻咽喉颅底外科杂志,1995,1(1):37-38. 被引量:2
  • 2蔡用武,中国神经精神疾病杂志,1992年,18卷,232页
  • 3郎国林,中华神经外科杂志,1986年,2卷,174页
  • 4王忠诚,神经外科学,1979年

共引文献31

同被引文献34

  • 1展如才,朱百年.经单鼻蝶垂体腺瘤切除术后尿崩症的病因及治疗[J].中国微侵袭神经外科杂志,2005,10(1):30-31. 被引量:14
  • 2胡军民,薛德麟,马廉亭,秦尚振,龚杰,徐国政.蝶鞍区的应用解剖研究[J].中国临床神经外科杂志,2005,10(1):17-19. 被引量:23
  • 3鲍文公,薛德麟,胡文安,杨正明,雷霆.经蝶窦显微手术切除鞍区肿瘤[J].中国临床神经外科杂志,2005,10(2):129-130. 被引量:5
  • 4黄雪钦,徐声亮,吴国彦.老年人垂体腺瘤的诊断和治疗[J].海南医学,2006,17(6):29-30. 被引量:1
  • 5Zervas NT. Surgical results for pituitury adenomas: result of an international study. In: Black PM , Zervas NT eds. Secretory Tumors of Pituitary Gland [M]. New York: Raven Press, 1984. 377-385.
  • 6刘运生.垂体腺瘤.见:赵继宗主编.神经外科手术精要与并发症[M].第1版.北京:北京大学医学出版社,2004.135-153.
  • 7Iuchi T, Saeki N, Tanaka M, et al. MRI prediction of fibrous pituitary adenomas [J]. Acta Neurochir (wien), 1998, 140 (8): 779-886.
  • 8施米德克·斯威特.施米德克·斯威特神经外科手术学[M].王任直等主译.第1版.北京:人民卫生出版社,2003.363-399.
  • 9Olson DR, Guiot G, Derome P. The symptomatic empty sella: prevention and correction via the transsphenoidal approach [J]. J Neurosurg, 1972, 37: 533-537.
  • 10Guy J, Mancuso A, Beck R, et al . Radiation-induced optic neuropathy: a magnetic resonance imaging study [J]. J Neurosurg, 1991, 74: 426-432.

引证文献8

二级引证文献10

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部