摘要
目的探讨经蝶垂体腺瘤切除术中可疑组织的分辨和处理方法。方法回顾性分析我科经蝶垂体腺瘤切除术中因难以确定性质而单独送检可疑组织20例患者的临床资料,对术中垂体腺瘤与正常垂体组织的分辨方法进行总结。结果 20例可疑组织术后单独病检示:肿瘤组织与正常垂体混杂并存9例,正常垂体组织5例,肿瘤组织2例,其他性质组织4例。结论分辨垂体腺瘤和正常垂体组织主要依据术中外观、质地、血供以及可能存在的边界,若术中难以判断,则可取少量可疑组织单独送病理检查以明确组织性质,指导下一步治疗。
Objecitve To determine appropriate protocols for the identification and management of intra operative suspicious tissues during transsphenoidal surgery. Methods Clinical data and pathological reports of 20 patients with intra-operative suspicious tissues during transsphenoidal surgeries were analyzed retrospectively. The methods for discriminating between adenoma and normal pituitary tissues were reviewed. Results The postoperative pathological reports revealed that adenoma and normal pituitary tissues coexisted in 9 samples, while 5 samples were identified as normal pituitary tissues, 2 as adenoma tissues, and 4 as other tissues. Adenomas were distinguished from normal pituitary tissues on the basis of intra-operative appearance, texture, blood supply and possible existence of boundary. Conclusion If decisions are difficult to made during surgeries from the appearance of the suspicious tissues, pathological examinations are advised as a guidance for the next steps.
出处
《四川大学学报（医学版）》
CAS
CSCD
北大核心
2013年第3期441-443,共3页
Journal of Sichuan University(Medical Sciences)
基金
国家临床重点专科建设项目资助
关键词
术中可疑组织
经蝶手术
临床病理
Intra-operative suspicious tissues Transsphenoidal surgery Clinical pathology
