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目的探讨大垂体腺瘤显微开颅手术治疗的适应证和疗效。方法回顾分析12例大垂体腺瘤行开颅显微手术治疗患者的临床资料,并复习相关文献。结果12例均行开颅显微手术治疗,11例全切,1例次全切。术后视力及视野明显改善,8例出现尿崩,药物可控制,3月后症状消失。内分泌激素检查7例恢复正常,无死亡病例。随访3月无肿瘤复发。结论对于大垂体腺瘤手术治疗要进行认真的术前评价,只要适应证选择适当,就能取得最好的手术效果。
Objective To investigate the indications and curative effects of microsurgical craniotomy for pituitary adenoma. Methods Retrospective analysis of 12 cases of pituitary adenoma underwent craniotomy microsurgical treatment of patients with clinical data, and review the relevant literature. Results All the 12 patients underwent craniotomy microsurgical treatment, 11 patients underwent complete resection and 1 patient underwent complete resection. Postoperative visual acuity and visual field improved significantly, 8 cases of diabetes insipidus, drug control, symptoms disappeared after 3 months. Endocrine hormone examination in 7 cases returned to normal, no deaths. Follow-up in March without tumor recurrence. Conclusion For the surgical treatment of pituitary adenoma should be carefully preoperative evaluation, as long as the appropriate choice of indications, you can get the best surgical results.