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目的 探讨垂体腺瘤的诊断和经口鼻蝶窦显微手术的方法及经验。 方法 经口鼻蝶窦显微外科切除垂体腺瘤 3 0例 (微腺瘤 8例 ,大腺瘤 18例 ,巨大腺瘤 4例 ,侵袭性腺瘤 16例 ) ,观察其治疗效果。 结果 肿瘤全切除2 6例 (86 7% ) ,次全切除 4例 ,无死亡病例 ,术后并发症少。 2 5例 (83 3 % )随访 6个月～ 5年 ,痊愈 2 2例 (88% ) ,好转 3例 ,复发 1例。 结论 MR对选择手术入路有重要作用。经口鼻蝶窦显微手术是治疗垂体腺瘤的有效、安全的一种方法
Objective To investigate the diagnosis and experience of pituitary adenoma microsurgery. Methods 30 cases of pituitary adenoma (8 cases of microadenoma, 18 cases of large adenoma, 4 cases of large adenoma and 16 cases of invasive adenoma) underwent microsurgical resection of oral and nasal sphenoid sinus. The therapeutic effect was observed. Results Totally 26 cases (86.7%) had complete resection of the tumor, 4 cases were subtotally resected without any death and the postoperative complications were few. Twenty-five (83.3%) patients were followed up for 6 months to 5 years, 22 cases (88%) were cured, 3 cases improved, and 1 case relapsed. Conclusion MR plays an important role in the choice of surgical approach. Oral and nasal sphenoid sinus microsurgery is an effective and safe method for the treatment of pituitary adenoma