神经内镜与显微镜下经鼻蝶入路手术治疗复发性无功能性垂体腺瘤的疗效分析
目的 比较神经内镜与显微镜下经鼻蝶入路手术治疗复发性无功能性垂体腺瘤的有效性和安全性,并探讨复发性无功能性垂体腺瘤的最佳手术方式.方法 共纳入2012年10月至2019年8月43例复发性无功能性垂体腺瘤患者,分别行神经内镜下经鼻蝶入路垂体腺瘤切除术(内镜组,21例)和显微镜下经鼻蝶入路垂体腺瘤切除术(显微镜组,22例),记录术中出血量、手术时间、肿瘤切除程度、术后临床症状缓解情况、手术相关并发症(包括术中脑脊液鼻漏、垂体功能减退症、嗅觉障碍、鼻出血、术区出血)和肿瘤复发率.结果 显微镜组患者术中出血量[(60.67±33.27) ml对(111.33±49.26) ml;t=0.107,P=0...
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Published in | 中国现代神经疾病杂志 Vol. 20; no. 3; pp. 198 - 203 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | Chinese |
Published |
550004贵阳,贵州医科大学附属医院神经外科
25.03.2020
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Subjects | |
Online Access | Get full text |
ISSN | 1672-6731 |
DOI | 10.3969/j.issn.1672-6731.2020.03.011 |
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Abstract | 目的 比较神经内镜与显微镜下经鼻蝶入路手术治疗复发性无功能性垂体腺瘤的有效性和安全性,并探讨复发性无功能性垂体腺瘤的最佳手术方式.方法 共纳入2012年10月至2019年8月43例复发性无功能性垂体腺瘤患者,分别行神经内镜下经鼻蝶入路垂体腺瘤切除术(内镜组,21例)和显微镜下经鼻蝶入路垂体腺瘤切除术(显微镜组,22例),记录术中出血量、手术时间、肿瘤切除程度、术后临床症状缓解情况、手术相关并发症(包括术中脑脊液鼻漏、垂体功能减退症、嗅觉障碍、鼻出血、术区出血)和肿瘤复发率.结果 显微镜组患者术中出血量[(60.67±33.27) ml对(111.33±49.26) ml;t=0.107,P=0.030]和手术时间[(81.77±26.40) min对(168.95±45.34) min;t=0.006,P=0.000]均低于内镜组,而肿瘤切除程度、术后临床症状缓解、手术相关并发症发生率、肿瘤复发率组间差异均无统计学意义(P>0.05).结论 神经内镜和显微镜下经鼻蝶入路手术是复发性无功能性垂体腺瘤的两种常用治疗方式,均可取得满意疗效且安全性较高,二者融合将是垂体腺瘤切除术的发展趋势. |
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AbstractList | 目的 比较神经内镜与显微镜下经鼻蝶入路手术治疗复发性无功能性垂体腺瘤的有效性和安全性,并探讨复发性无功能性垂体腺瘤的最佳手术方式.方法 共纳入2012年10月至2019年8月43例复发性无功能性垂体腺瘤患者,分别行神经内镜下经鼻蝶入路垂体腺瘤切除术(内镜组,21例)和显微镜下经鼻蝶入路垂体腺瘤切除术(显微镜组,22例),记录术中出血量、手术时间、肿瘤切除程度、术后临床症状缓解情况、手术相关并发症(包括术中脑脊液鼻漏、垂体功能减退症、嗅觉障碍、鼻出血、术区出血)和肿瘤复发率.结果 显微镜组患者术中出血量[(60.67±33.27) ml对(111.33±49.26) ml;t=0.107,P=0.030]和手术时间[(81.77±26.40) min对(168.95±45.34) min;t=0.006,P=0.000]均低于内镜组,而肿瘤切除程度、术后临床症状缓解、手术相关并发症发生率、肿瘤复发率组间差异均无统计学意义(P>0.05).结论 神经内镜和显微镜下经鼻蝶入路手术是复发性无功能性垂体腺瘤的两种常用治疗方式,均可取得满意疗效且安全性较高,二者融合将是垂体腺瘤切除术的发展趋势. |
Author | 杨振宇 宋佳泉 出良钊 董明昊 徐学友 刘健 向欣 杨华 陈益民 |
AuthorAffiliation | 550004贵阳,贵州医科大学附属医院神经外科 |
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Keywords | 内窥镜检查 显微外科手术 腺瘤 神经外科手术 垂体肿瘤 复发 |
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