摘要
Abstract
Objective:To explore the clinical effect of endonasal trans-sphenoidal pituitary adenoma resection.Method:The data of 30 patients with pituitary adenomas in our hospital from May 2009 to August 2011 were analyzed retrospectively,in neuroendoscopy mononostril enter,without excision of the bony septum,directly from the front wall of the sphenoid sinus openings open sphenoid,was further sellar pituitary adenomas,and analyzing the relationship between tumor size and clinical effects.Result:The patients were followed up 3 months to 1 year,26 cases of headache symptoms within 3 months after opration disappeared,6 cases disappeared after 6 months.15 cases of vision loss,12 cases were normal,3 cases were improved.12 cases of lactation amenorrhea were within 3 months after operation returned to normal.1 case of acromegaly had abated.All patients after 3 months to 1 year follow-up,showed no cerebrospinal fluid rhinorrhea,optic nerve damage,meningitis,pituitary dysfunction and other complications.Conclusion:Endonasal trans-sphenoidal pituitary adenoma resection has less trauma,simple operation,operative field clear,quick recovery,is an effective minimally invasive pituitary tumor resection surgical methods.关键词
内镜/垂体瘤切除术/经鼻蝶入路手术Key words
Endoscopic/Transsphenoidal approach operation/Pituitary adenoma resection分类
医药卫生