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目的:总结经单鼻孔鼻中隔蝶窦入路切除垂体腺瘤的手术经验及疗效。方法:回顾性分析3 6例垂体腺瘤患者的临床表现及手术方法和经验。结果:肿瘤全切除2 8例,次全切除6例,部分切除2例。术后视力及视野改善者3 0例,内分泌指标恢复正常者3 1例。脑脊液鼻漏1例,两周后治愈。本组无死亡病例,无颅内出血等其他并发症。结论:经单鼻孔鼻中隔蝶窦入路可充分利用鼻腔的自然间隙,入路直接,手术时间短,创伤小,并发症少,是较理想的经蝶手术术式。
Objective: To summarize the surgical experience and efficacy of pituitary adenoma treated by a single nostril nasal sphenoid sinus approach. Methods: Retrospective analysis of the clinical manifestations and surgical methods and experience of 36 patients with pituitary adenomas. RESULTS: Twenty-eight patients underwent total tumor resection, 6 subtotal resections and 2 partial resections. There were 30 cases with improved visual acuity and visual field, and 31 cases with normal endocrine indexes returned to normal. One case of cerebrospinal fluid leakage was cured after two weeks. There were no deaths in this group and no other complications such as intracranial hemorrhage. Conclusion: The transnasal sphenoid sinus approach through a single nostril can make full use of the natural space of the nasal cavity, direct approach, short operation time, less trauma and fewer complications. It is an ideal transsphenoidal approach.