CAJ | 학술논문

目的探讨侵袭型巨大垂体腺瘤神经内镜手术适应证、手术切除过程中风险规避以及手术技巧.方法回顾性分析经鼻蝶神经内镜手术切除61例垂体腺瘤患者中7例侵袭型巨大垂体腺瘤患者的临床资料.结果全切除肿瘤1例,次全切除6例均侵袭海绵窦,其中5例切除肿瘤后均见鞍膈,2例未见鞍膈下落.手术时间平均100 min.无术中输血患者.术后术区血肿2例,1例术后36 h死亡,1例进行内镜下血肿切除术后痊愈.结论伴随神经内镜技术的发展,对于手术适应证的选择有了新的变化,对于侵袭型巨大垂体腺瘤的手术治疗,神经内镜技术为我们提供了一次性手术切除的可能,该方法是安全的,可以避免出现灾难性后果.
목적 탐토침습형거대수체선류신경내경수술괄응증、수술절제과정중풍험규피이급수술기교.방법 회고성분석경비접신경내경수술절제61례수체선류환자중7례침습형거대수체선류환자적림상자료.결과 전절제종류1례,차전절제6례균침습해면두,기중5례절제종류후균견안격,2례미견안격하락.수술시간평균100 min.무술중수혈환자.술후술구혈종2례,1례술후36 h사망,1례진행내경하혈종절제술후전유.결론 반수신경내경기술적발전,대우수술괄응증적선택유료신적변화,대우침습형거대수체선류적수술치료,신경내경기술위아문제공료일차성수술절제적가능,해방법시안전적,가이피면출현재난성후과.
Objective To study the giant invasive pituitary tumor neuroendoscopic operation indications,operation excision,risk aversion,and the operation skills.Methods The clinical data of 7 patients with giant invasive pituitary tumor among of endoscopic transsphenoidal surgery 61 cases of neurological patients with pituitary tumors were analyzed retrospectively.Results There were 1 case of total resection,6 cases of subtotal resection invading cavernous sinus cases,diaphragma sellar was seen in 5 cases of resection of the tumor,and 2 cases showed no diaphragma sellar.The average operation time was 100 minutes.No intraoperative transfusion.Postoperative hemorrhage in 2 cases,and 1 death case in this group after 36 hours,and 1 case undergoing endoscopic hematoma resection and cured.Conclusions With the development of endoscopic techniques,indications for operation with the new changes,for the giant invasive pituitary tumor operation therapy,endoscopic technique provides a disposable operation resection,the method is safe and avoid catastrophic consequences.