鞍区病变的微侵袭治疗

目的探讨鞍区病变的微侵袭手术方法。方法影像学和内分泌检查明确诊断。全麻下经单鼻腔蝶窦导入神经内窥镜行病变切除,必要时辅以显微镜下手术操作。结果24例病人中20例肿瘤全切除,4例次全切除。术后无1例发生脑脊液漏和颅内感染。1例垂体脓肿和1例空蝶鞍均临床治愈。随访6～25月,视力恢复至5.0以上10例,月经恢复正常6例,内分泌水平恢复正常11例。结论对鞍区病变内窥镜手术侵袭性小,疗效确切。

The minimally invasive surgery of pituitary disorders

Objective To explore the minimally invasive surgery of pituitary disorders. Endoscopic endonasal transsphenoidal surgery experiences with 26 patients. Method All 26 patients were determined by mean of MRI or CT and secretory level test. The lesion were removed by transmononasal sphenoid sinus approach under endoscopic surgery. Results At surgery, complete removal of tumor was achieved in 20 patients and subtotal removal was performed in 4 patients. There were no infection and dead at the follow-up from 6 to 25 months. 10 cases' vision recovered to more than 5.0, 11 cases' secretory level rehabilitated,6 cases' menses rehabilitated. Conclusion Transmononasal sphenoid sinus approach under endoscope supervision was less invasive and effective.