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目的探讨显微镜下经鼻蝶窦垂体瘤切除术的临床疗效。方法选取2016年1—12月内蒙古省赤峰市医院收治的112例脑垂体瘤患者作为研究对象,所有患者均采用显微镜下经鼻蝶窦垂体瘤切除术治疗,回顾性分析患者的临床资料。结果所有患者均顺利完成手术,手术后无视神经损伤、颅内感染、死亡病例。泌乳素腺瘤患者术后血清泌乳素水平、长激素瘤患者术后血清生长激素水平均显著低于手术前,均P<0.05。结论显微镜下经鼻蝶窦垂体瘤切除术是一种安全、可靠的手术方式。
Objective To investigate the clinical efficacy of transsphenoidal sphenoidal sinus pituitary tumor resection under microscope. Methods A total of 112 patients with pituitary adenoma treated at the hospital from January to December in 2016 in Chifeng City, Inner Mongolia were selected. All patients underwent transnasal sphenoid sinus pituitary tumor resection. The clinical data of the patients were retrospectively analyzed. Results All patients successfully completed the operation. No optic nerve injury, intracranial infection, and death occurred after surgery. Serum prolactin levels in patients with prolactinoma and postoperative serum growth hormone levels in patients with prolonged hormonal tumors were significantly lower than those before surgery, and all were P<0.05. Conclusion Microsurgical sphenoid sinus pituitary adenoma resection is a safe and reliable surgical method.