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神经内窥镜及导航辅助下经单鼻蝶垂体腺瘤显微切除术(附27例临床分析)

Endoscopic neuronavigation assisted endonasal trans-sphenoidal pituitary adenoma Micro-resection:report of 27 cases
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摘要 目的探讨神经内窥镜和导航技术结合应用于垂体腺瘤显微切除的效果。方法在神经内窥镜和导航辅助下经鼻蝶入路显微切除27例垂体腺瘤,其中垂体微腺瘤2例,小腺瘤3例,大腺瘤18例和巨大腺瘤4例。结果肿瘤全切的17例,次全切7例,部分切除3例。结论神经内窥镜和导航技术结合应用于垂体腺瘤显微切除,术中定位准确,视野清晰,损伤小,提高了肿瘤的切除程度,术后恢复快,减少了手术的并发症,是垂体腺瘤手术治疗的较佳手段。 Objective To discuss the efficacy of Endoscopic neuronavigation assisted endonasal trans-sphenoidal pituitary adenoma Micro-resection. Methods Endoscopic neuronavigation assisted pituitary adenoma micro-resection was performed in 27 cases,including 2 cases of microadenoma,3 cases of small adenoma, 18 cases of macroadenoma, and 4 cases of huge pituitary adenoma. Results Complete resection was achieved inl7 patients,subtotal resection was achieved in 7, and 3 were fully removed. Conclusion Endoscopic neumnavigation assisted transendonasal trans-sphenoidal pituitary adenoma resection is a good way to cure pituitary adenoma . It have some advantages include : increased the accuracy and the total tumor removal, better lightfield of vision, reduced complications of minimal invasion, and decreased of postoperative complications.
出处 《立体定向和功能性神经外科杂志》 2009年第4期232-234,共3页 Chinese Journal of Stereotactic and Functional Neurosurgery
关键词 神经内窥镜 神经导航 垂体腺瘤 显微外科手术 Endoscope Neuronavigation Pituitary adenoma Mierosurgery
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