单鼻孔- 蝶窦入路垂体瘤切除术的体会

目的:探讨经单鼻孔-蝶窦入路垂体瘤切除手术的效果。方法:应用单鼻孔-蝶窦入路切除22例垂体瘤患者。结果:22例患者手术均顺利进行并于术后3月均获随访,全切除14例,次全切除5例,部分切除3例。结论:经单鼻孔-蝶窦入路显微切除垂体瘤属于微侵袭及功能保护性手术,符合现代神经外科的发展方向,严格把握适应症及禁忌症,完善手术技巧是提高手术效果的关键。

Experience of Hypophysoma Resection Through Single Nostril-Sphenoid Sinus Approach

Objective: To evaluate hypophysoma resection though single nostril-sphenoid sinus approach. Methods: Treat 22 cases of hypophysoma using single nostril-sphenoid sinus approach resection. Results: 22 cases of hypophysoma were operated successfully including 14 cases of total resection , 5 cases of subtotal resection and 3 cases of partially resection. All patients were followed up after operation in 3 months. Conclusion: Hypophysoma resection though single nostril-sphenoid sinus approach is a kind of minimally invasive and functional protected surgery, which comes up with the direction of modern neurosurgery development. The key to improve the surgical results is to control indications and contraindications strictly and improve surgical techniques.