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首页|期刊导航|浙江医学|神经内镜下单鼻孔经蝶窦入路垂体瘤切除手术的临床体会

神经内镜下单鼻孔经蝶窦入路垂体瘤切除手术的临床体会

金建祥 张剑平

浙江医学Issue(13):1150-1152,3.
浙江医学Issue(13):1150-1152,3.

神经内镜下单鼻孔经蝶窦入路垂体瘤切除手术的临床体会

Neuro-endoscopic endonasal transsphenoidal surgery for pituitary adenomas:a clinical analysis

金建祥 1张剑平1

作者信息

  • 1. 315040 宁波,宁波大学医学院附属鄞州医院神经外科
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摘要

Abstract

Objective To review the surgical procedure and effect of endoscopic endonasal transsphenoidal approach for resection of pituitary adenomas. Methods Clinical data of 53 cases of pituitary adenomas undergoing tumor resection with en-doscopic endonasal transpterygoid approach(EETA) were retrospectively reviewed. The surgical effect, postoperative complica-tions, hospitalization days were analyzed. Results The tumors were total y removed in 49 (92.4%) cases and subtotally removed in 4 (7.6%). The average postoperative hospital stay was 6.2d, with no surgery related deaths There were concurrent saddle hematoma and frontal lobe hematoma after operation in 1 case, vision loss after anesthesia in 1 case, diabetes insipidus in 2 cas-es, cerebral spinal fluid leak in 1 case with a postoperative complication rate of 9.4%. Conclusion Endoscopic endonasal transsphenoidal approach is a minimal invasive approach for resection of pituitary adenomas with less postoperative complication.

关键词

神经内镜/经蝶窦入路/垂体瘤/显微手术/神经导航

Key words

Neuro- endoscopic/Transsphenoidal approach/Pituitary adenomas/Microsurgery/Neuronavigation

引用本文复制引用

金建祥,张剑平..神经内镜下单鼻孔经蝶窦入路垂体瘤切除手术的临床体会[J].浙江医学,2015,(13):1150-1152,3.

浙江医学

OACSTPCD

1006-2785

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