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经鼻孔蝶窦入路神经内镜下垂体瘤切除术对老年垂体瘤患者预后的影响

周凯 张庭荣 范雁东 赛力克 杜郭佳 吴鹏飞 更·党木仁加甫

中国医学前沿杂志(电子版)2016,Vol.8Issue(2):18-20,3.
中国医学前沿杂志(电子版)2016,Vol.8Issue(2):18-20,3.

经鼻孔蝶窦入路神经内镜下垂体瘤切除术对老年垂体瘤患者预后的影响

The prognosis influence of pituitary tumor resection by nostril transsphenoidal approach with endo­ scopic in the elderly patients with pituitary tumor

周凯 1张庭荣 1范雁东 1赛力克 1杜郭佳 1吴鹏飞 1更·党木仁加甫1

作者信息

  • 1. 新疆医科大学第一附属医院 神经外科,乌鲁木齐 830054
  • 折叠

摘要

Abstract

Objective To explore the prognosis influence of pituitary tumor resection by nostril transsphenoidal approach with endoscopic in the elderly patients with pituitary tumor. Method Selected 92 cases of pituitary tumor patients accepted by our hospital from May 2011 to May 2014, they were divided into observation group and control group randomly. Conventional therapy were took on both groups, pituitary adenoma resection by descends endoscopic were used for observation group and pituitary adenoma resection by microscope downside were used for control group. Two groups of patients were followed up for 12 months, the perioperative indexes, postoperative complications and prognosis were observed between the two groups. Result The operation time, intraoperative blood loss, postoperative hospitalization days of observation group were less than control group (P < 0.05). There were significant differences in the incidence of complications between the two groups (P < 0.05). The clinical symptoms improved rate of two groups in 6 months after operation were 79.2% and 64.0%, and the rate of two groups in 1 year after operation were 93.8% and 72.0%respectively, the results were statistically significant (P < 0.05). Conclusion Pituitary tumor resection by nostril transsphenoidal approach with endoscopic in the elderly patients with pituitary tumor has a good effect, with fewer complications and better prognosis. It is worthy of clinical promotion.

关键词

神经内镜/垂体瘤/预后/老年

Key words

Endoscope/Pituitary tumors/Prognosis/Elderly

引用本文复制引用

周凯,张庭荣,范雁东,赛力克,杜郭佳,吴鹏飞,更·党木仁加甫..经鼻孔蝶窦入路神经内镜下垂体瘤切除术对老年垂体瘤患者预后的影响[J].中国医学前沿杂志(电子版),2016,8(2):18-20,3.

基金项目

国家自然科学基金(81160150);新疆自治区自然科学基金 ()

中国医学前沿杂志(电子版)

OACSTPCD

1674-7372

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