摘要
目的:对比观察经鼻蝶显微技术下入路与经鼻蝶神经内窥镜下入路手术切除垂体腺瘤的疗效,探讨切除垂体瘤的良好辅助方法。方法:78例患者分别采用经鼻蝶显微技术下入路和经鼻蝶神经内窥镜下入路手术切除垂体腺瘤。结果:与经鼻蝶显微技术下入路比较,经鼻蝶神经内窥镜下入路手术者住院时间短、肿瘤全切除率高、鼻出血率低、术后并发症发生率低(P<0.05),但是经鼻蝶神经内窥镜下手术切除肿瘤时术中出血需显微镜下止血。结论:经鼻蝶神经内窥镜下手术入路是垂体腺瘤切除的良好手术切除垂体瘤的入路,如有条件也可将二者联合应用取长补短。
Objective：To compare the efficacy of nerve surgery of pituitary adenoma using endonasal transsphenoidal approach under microscope with nerve surgery of pituitary adenoma using endoscopic endonasal transsphenoidal approach nerve. Discuss a good auxiliary method of pituitary tumor resection. Methods：78 patients have an operation of nerve surgery of pituitary adenoma using endonasal transsphenoidal approach under microscope and nerve surgery of pituitary adenoma using endoscopic endonasal transsphenoidal approach nerve respectively. Result：Compared with the method of endonasal transsphenoidal approach under microscope, patients have an operation of nerve surgery using endoscopic endonasal transsphenoidal approach nerve have shorter hospitalization, higher rate of total tumor removal, lower rate of epistaxis, lower incidence of postoperative complications （P〈0.05）, However, nerve endoscopic endonasal transsphenoidal surgery to remove the tumor required to stop bleeding under a microscope. Conclusions： Endoscopic endonasal transsphenoidal approach nerve is the better way of nerve surgery of pituitary adenoma. If conditions permitted, it can also be combined with each other.
出处
《现代生物医学进展》
CAS
2010年第3期524-527,共4页
Progress in Modern Biomedicine
关键词
垂体腺瘤
显微侵袭
疗效
Pituitary adenoma
Microscopic invasion
Efficacy
