CAJ | 학술논문

目的总结神经内镜下经单鼻孔蝶窦入路手术治疗鞍区病变的方法和经验.方法北京市海淀医院神经外科自2006年6月至2009年10月采用神经内镜下经单鼻孔蝶窦入路手术治疗鞍区病变患者40例,其中垂体腺瘤38例,Rathke囊肿2例.回顾性分析患者的临床资料和治疗效果.结果垂体瘤38例中全切除35 例(92.1%),大部切除3例(7.9%),2例Rathke囊肿均全切除.随访结果显示垂体瘤患者中33例(86.8%)治愈,5例(13.2%)控制,全部患者术后未有严重的永久性并发症.结论经单鼻孔蝶窦入路手术治疗鞍区病变创伤小、安全、方便.
목적 총결신경내경하경단비공접두입로수술치료안구병변적방법화경험.방법 북경시해정의원신경외과자2006년6월지2009년10월채용신경내경하경단비공접두입로수술치료안구병변환자40례,기중수체선류38례,Rathke낭종2례.회고성분석환자적림상자료화치료효과.결과수체류38례중전절제35 례(92.1%),대부절제3례(7.9%),2례Rathke낭종균전절제.수방결과현시수체류환자중33례(86.8%)치유,5례(13.2%)공제,전부환자술후미유엄중적영구성병발증.결론 경단비공접두입로수술치료안구병변창상소、안전、방편.
Objective To provide anatomical and clinic basis for endoscopic mono-endonasal transsphenoidal surgery in the treatment of patients with sellar lesions. Methods Forty patients with sellar lesions (38 with pituitary adenoma and 2 with Rathke's cysts), admitted to our hospital from June 2006 to October 2009, were chosen; their clinical data and treatments were retrospectively analyzed. Results In 38 patients with pituitary adenoma, total resection was achieved in 35 (92.1%) and subtotal resection was achieved in 3 (7.9%). All the 2 patients with Rathke's cysts were received total resection. Follow-up showed that 33 patients with pituitary adenoma was tumor-free and the tumor in the other 5 got controlled. Conclusion endoscopic mono-endonasal transsphenoidal surgery is safe and easy to perform with little trauma for the sellar diseases.