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目的:探讨老年人巨大垂体腺瘤的诊断与手术入路的选择。方法:总结24例老年人巨大垂体腺瘤的临床资料及手术疗效。结果:通过不同的手术入路全切除垂体腺瘤11例(44％),大部分切除13例(56％)。手术并发症多为一过性,死亡1例(4％)。结论:根据病人的情况,肿瘤的大小及形状选择手术入路,大部分老年人巨大垂体腺瘤可经蝶入路手术切除。年龄不是老年性垂体腺瘤手术治疗的禁忌。
Objective: To explore the diagnosis and surgical approach of giant pituitary adenoma in the elderly. Methods: To summarize the clinical data and the curative effect of 24 cases of giant pituitary adenoma in the elderly. Results: Total resection of pituitary adenomas was performed in 11 cases (44%) by different surgical approaches, and 13 cases (56%) were mostly resected. Surgical complications were mostly transient, 1 patient died (4%). Conclusion: According to the patient’s condition, the size and shape of the tumor choose surgical approach, most of the elderly huge pituitary adenoma can be removed by transcranial surgery. Age is not a taboo of surgical treatment of senile pituitary adenoma.