CAJ | 학술논문

目的探讨内镜经鼻蝶窦入路手术治疗急性卒中垂体腺瘤的手术技术和围手术期治疗方法.方法回顾性分析2004年3月至2011年3月间治疗的急性卒中垂体腺瘤患者15例,男4例,女11例；平均年龄39.0岁,术前均行头CT、MRI及内分泌学检查,手术采用内镜经鼻蝶窦入路肿瘤切除术,围手术期给予补充肾上腺皮质激素.结果本组患者中肿瘤全切12例,近全切除3例,无严重并发症及手术死亡.术后随访6 - 36个月,患者症状均明显好转,对垂体功能低下的患者给予激素替代治疗.结论内镜经鼻蝶窦入路手术是治疗急性卒中垂体腺瘤安全、有效的方法,完善的围手术期处理措施是保证手术成功的关键.
목적 탐토내경경비접두입로수술치료급성졸중수체선류적수술기술화위수술기치료방법.방법 회고성분석2004년3월지2011년3월간치료적급성졸중수체선류환자15례,남4례,녀11례；평균년령39.0세,술전균행두CT、MRI급내분비학검사,수술채용내경경비접두입로종류절제술,위수술기급여보충신상선피질격소.결과 본조환자중종류전절12례,근전절제3례,무엄중병발증급수술사망.술후수방6 - 36개월,환자증상균명현호전,대수체공능저하적환자급여격소체대치료.결론 내경경비접두입로수술시치료급성졸중수체선류안전、유효적방법,완선적위수술기처리조시시보증수술성공적관건.
Objective To discuss the operative techniques of endoscopic endonasal transsphenoidal surgery and perioperative management for treatment of acute pituitary apoplexy.Method From Mar.2004 to Mar.2011,15 patients were diagnosed as acute pituitary apoplexy.There were 4 male and 11 female( average age 39.0 years ).MRI scan,CT scan and endocrinological examinations were performed in all cases before operation.All patients were treated by endoscopic endonasal transsphenoidal operation.Glucocorticoids were used during perioperatve period.Results The tumors were totally removed in 12 cases and sub -totally removed in 3 cases,without operative death and serious complications.All patients were followed up from 6 to 36 months.Symptoms were improved in all cases and hormone replacement therapy was needed due to hypopituitarism.Conclusion The endoscopic endonasal transsphenoidal operation is safe and effective in treatment of acute pituitary apoplaxy.Appropriate perioperative management is important to the success of operation.