CAJ | 학술논문

目的总结采用经鼻蝶窦入路切除垂体腺瘤的手术经验,探讨适应证选择、技术要点及并发症防治.方法回顾性总结经鼻蝶窦入路切除8例垂体腺瘤患者的病例资料,微腺瘤1例、大腺瘤6例、巨大腺瘤1例.结果 8例均手术全切除,1例3年后复发再次手术治愈.随访3月至3年均治愈,术后3个月以上MRI复查未见肿瘤复发.结论经鼻蝶窦入路显微切除垂体腺瘤,具有手术创伤小、时间短、术后恢复快等优点,是治疗垂体腺瘤安全、有效的方法.
목적 총결채용경비접두입로절제수체선류적수술경험,탐토괄응증선택、기술요점급병발증방치.방법 회고성총결경비접두입로절제8례수체선류환자적병례자료,미선류1례、대선류6례、거대선류1례.결과 8례균수술전절제,1례3년후복발재차수술치유.수방3월지3년균치유,술후3개월이상MRI복사미견종류복발.결론 경비접두입로현미절제수체선류,구유수술창상소、시간단、술후회복쾌등우점,시치료수체선류안전、유효적방법.
Objective Summary of the use of nasal transsphenoidal approach for resection of pituitary adenoma surgery experience,choose to explore the indications,techniques and prevention of complications.Methods Retrespectivecy nasal transsphenoidal approach for pituitary adenoma resection eight cases of clinical data of patients.Micro-one cases of adenoma,six cases of macroadenoma,a huge one cases of adenoma.Results Were eight cases of surgical excision.1 cases of recurrence 3 years later,re-operation to cure.Follow-up in March to 3 annual cured for more than 3 months after MRI review no tumor recurrence.Conclusion The microsurgery through nostril transsphenoidal approach was a safe,effective method for treatment of pituitary adenomas,has advantages of mininsal trauma,short operative duration and quick postoperative recovery.