CAJ | 학술논문

目的：探讨经单鼻孔蝶窦入路显微切除垂体腺瘤的方法和疗效。方法回顾性分析37例经单鼻孔蝶窦入路垂体腺瘤切除患者的临床资料。结果37例患者中，29例全切，8例次全切。随访3~12个月，临床症状改善或激素水平下降者32例，无变化者5例（其中肿瘤复发2例），无死亡病例。结论经单鼻孔蝶窦入路垂体腺瘤切除术疗效显著，可改善临床症状和降低血清激素水平。
목적：탐토경단비공접두입로현미절제수체선류적방법화료효。방법회고성분석37례경단비공접두입로수체선류절제환자적림상자료。결과37례환자중，29례전절，8례차전절。수방3~12개월，림상증상개선혹격소수평하강자32례，무변화자5례（기중종류복발2례），무사망병례。결론경단비공접두입로수체선류절제술료효현저，가개선림상증상화강저혈청격소수평。
Objective Tostudythemethodandcurativeeffectofsphenoidsinusapproachpituitaryadenomaex-cisionthroughsinglenostril.Methods Theclinicaldataof37casesofsphenoidsinusapproachpituitaryadenoma excisionthroughsinglenostrilwereanalyzedretrospectively.Results Ofthe37cases,29casesoffullexcision,8 cases of secondary excision. In the follow up time of 3-12 months,32 cases of improvement of clinical symptom and level decline of blood serum hormone,5 case of no change( including 2 cases of tumor relapse),no death was ob-served.Conclusion Theeffectofsphenoidsinusapproachpituitaryadenomaexcisionthroughsinglenostrilisobvi-ous,can obviously improve the clinical symptom and decline the level of blood serum hormone.