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...

Full description

Saved in:
Bibliographic Details
Published in中国现代神经疾病杂志 Vol. 20; no. 3; pp. 198 - 203
Main Authors 徐学友, 杨振宇, 宋佳泉, 刘健, 向欣, 出良钊, 陈益民, 董明昊, 杨华
Format Journal Article
LanguageChinese
Published 550004贵阳,贵州医科大学附属医院神经外科 25.03.2020
Subjects
Online AccessGet full text
ISSN1672-6731
DOI10.3969/j.issn.1672-6731.2020.03.011

Cover

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.
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
AuthorAffiliation_xml – name: 550004贵阳,贵州医科大学附属医院神经外科
Author_FL CHU Liang-zhao
CHEN Yi-min
DONG Ming-hao
SONG Jia-quan
XIANG Xin
LIU Jian
XU Xue-you
YANG Hua
YANG Zhen-yu
Author_FL_xml – sequence: 1
  fullname: XU Xue-you
– sequence: 2
  fullname: YANG Zhen-yu
– sequence: 3
  fullname: SONG Jia-quan
– sequence: 4
  fullname: LIU Jian
– sequence: 5
  fullname: XIANG Xin
– sequence: 6
  fullname: CHU Liang-zhao
– sequence: 7
  fullname: CHEN Yi-min
– sequence: 8
  fullname: DONG Ming-hao
– sequence: 9
  fullname: YANG Hua
Author_xml – sequence: 1
  fullname: 徐学友
– sequence: 2
  fullname: 杨振宇
– sequence: 3
  fullname: 宋佳泉
– sequence: 4
  fullname: 刘健
– sequence: 5
  fullname: 向欣
– sequence: 6
  fullname: 出良钊
– sequence: 7
  fullname: 陈益民
– sequence: 8
  fullname: 董明昊
– sequence: 9
  fullname: 杨华
BookMark eNo9kM1LAkEAxedgkJn_RZcOu83HOuseQ_oCoUudZWdnJ1pihZYoPEWlWGIWYUqYdVC6JXSoyPSvcWbX_6Ltg07v8ePxHrw5kPCLvgvAAoI6sai15Om7QeDriJpYoyZBOoYY6pDoEKEESP7zWZAOAg_CGBOIKUwCEfa74bAhK-VpszN5v1TtsRw___hazKefw-j-VZb70dtAnddUZ6BehuFtS_bqsnGtjp9U61FePESno9jL7slkdBOVP8J2L7w7i2OqWZXViupezYMZYe8FbvpPU2B7dWUrt67lN9c2cst5LUDQwBo3HQYFcQzT4kw4lgu5QRnFluEyjjMIuzZjlCHBoeVywRG1M7aTZcglWSaEQ1Jg8bf30PaF7e8UvOLBvh8vFo544HmsVPp-BhKIMPkCYtyDsA
ContentType Journal Article
Copyright Copyright © Wanfang Data Co. Ltd. All Rights Reserved.
Copyright_xml – notice: Copyright © Wanfang Data Co. Ltd. All Rights Reserved.
DBID 2B.
4A8
92I
93N
PSX
TCJ
DOI 10.3969/j.issn.1672-6731.2020.03.011
DatabaseName Wanfang Data Journals - Hong Kong
WANFANG Data Centre
Wanfang Data Journals
万方数据期刊 - 香港版
China Online Journals (COJ)
China Online Journals (COJ)
DatabaseTitleList
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
DocumentTitle_FL Contrast study on clinical efficacy between endoscopic and microscopic surgery via transnasal-transsphenoidal approach for recurrent nonfunctional pituitary adenoma
EndPage 203
ExternalDocumentID xdsjjbzz202003012
GroupedDBID ---
-05
04C
2B.
4A8
5VS
92F
92I
93N
ABJNI
ABUWG
ACGFS
AFKRA
ALMA_UNASSIGNED_HOLDINGS
BENPR
BPHCQ
BVBZV
CCEZO
CCPQU
CIEJG
CW9
EBD
EIHBH
EOJEC
GROUPED_DOAJ
IPNFZ
KQ8
OBODZ
OK1
PQQKQ
PROAC
PSX
RIG
RNS
TCJ
TGQ
U1G
U5O
ID FETCH-LOGICAL-s1042-d7cb0f3c479dbfc9e0d46b6294ebd2512eabb6b1fd09edfd16a5ac8b1e38bffc3
ISSN 1672-6731
IngestDate Thu May 29 04:06:30 EDT 2025
IsPeerReviewed true
IsScholarly true
Issue 3
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
Language Chinese
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-s1042-d7cb0f3c479dbfc9e0d46b6294ebd2512eabb6b1fd09edfd16a5ac8b1e38bffc3
PageCount 6
ParticipantIDs wanfang_journals_xdsjjbzz202003012
PublicationCentury 2000
PublicationDate 2020-03-25
PublicationDateYYYYMMDD 2020-03-25
PublicationDate_xml – month: 03
  year: 2020
  text: 2020-03-25
  day: 25
PublicationDecade 2020
PublicationTitle 中国现代神经疾病杂志
PublicationTitle_FL Chinese Journal of Contemporary Neurology and Neurosurgery
PublicationYear 2020
Publisher 550004贵阳,贵州医科大学附属医院神经外科
Publisher_xml – name: 550004贵阳,贵州医科大学附属医院神经外科
SSID ssj0001130260
ssib017477097
ssib038074726
ssib051368963
ssib001103733
Score 2.240865
Snippet 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...
SourceID wanfang
SourceType Aggregation Database
StartPage 198
Title 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
URI https://d.wanfangdata.com.cn/periodical/xdsjjbzz202003012
Volume 20
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVAFT
  databaseName: Open Access Digital Library
  issn: 1672-6731
  databaseCode: KQ8
  dateStart: 20100101
  customDbUrl:
  isFulltext: true
  dateEnd: 99991231
  titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html
  omitProxy: true
  ssIdentifier: ssj0001130260
  providerName: Colorado Alliance of Research Libraries
– providerCode: PRVAON
  databaseName: DOAJ Directory of Open Access Journals
  issn: 1672-6731
  databaseCode: DOA
  dateStart: 20100101
  customDbUrl:
  isFulltext: true
  dateEnd: 99991231
  titleUrlDefault: https://www.doaj.org/
  omitProxy: true
  ssIdentifier: ssj0001130260
  providerName: Directory of Open Access Journals
– providerCode: PRVPQU
  databaseName: East & South Asia Database
  issn: 1672-6731
  databaseCode: BVBZV
  dateStart: 20100101
  customDbUrl:
  isFulltext: true
  dateEnd: 99991231
  titleUrlDefault: https://search.proquest.com/eastsouthasia
  omitProxy: false
  ssIdentifier: ssj0001130260
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest Central
  issn: 1672-6731
  databaseCode: BENPR
  dateStart: 20100101
  customDbUrl: http://www.proquest.com/pqcentral?accountid=15518
  isFulltext: true
  dateEnd: 99991231
  titleUrlDefault: https://www.proquest.com/central
  omitProxy: true
  ssIdentifier: ssj0001130260
  providerName: ProQuest
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnR1dSxVBdJErSC_RJ32KhPN4bT9nZx537t2LBEqEgm9y9-5u4cMNUiHuU1SKJWURpoRZD0pvCT1UZPpr3L3Xf9E5Z1fvihLWyzKcOd9ndmbO7M6Mpg3GNgwTYWiX7QiXboJAL9dj3AVs8NC0QpfrIa5Djozy4XH7zoQz0VOqFv5amp0JhhqtE_eV_E9UAQZxxV2y_xDZQ6YAgDLEF54QYXieKsbMd5nnMOljQSkmasx3mOBMOMyXTEJVhfk2U4IJwOFMCqZ8xIGn5x_DUQU-kqkKln3BZJUpTpwdFAcQBXJryFBIouLIJIMok6hcJgHoIpUH09UqkdeYNIhKZ55LVMBHpyqPyRpyFhZT1QIOWSdM0rDKpEU4oL9HIgQyx4LHhF0QytEuIYizQIcgxGfZlaEHc_Hcao90k4rkuugopVOVYp51kodJiiIIyEJXc3QRKgmKgY2HQ3vuaUkmghyP524QqotCxJ4gmzMnOhgbcYQLAlTuBGWRny0mZBEFDJWZxQaoXFzNgdRdt8rZzm96_xy8n8KmQALHrK0I5GhWCkAHwyypuYhKHlQICYaQgpqFJzcLOEiKAVAZR6moyjNPbqzAB7x5wLkwRHLXxA0jRnEMNfVCX2EVBkQju2M8n1uZdJ7FsWHbklzSsI0Chg4FDKGD6AjifDw-ejD643B6aipotRALE3uYiPWaLrfdktar_NG797ppAW6G7aY1kIS7rt79eo53LthuNw1xDIsLmR9LR2u1-HU_O3DgQLc-bTBX_Pbf1KatgM243rxfmLWOndPO5unmgJf1Hee1ntaDC1rfSP5DzUUtbm-ut7eXkvm5_eW1vZ-v09XdZPcrlRcBvv97u_PxezK32fmxlb5YTNe20m_b7fcrycarZOlt-uRLuvI5efmp82wHysn6072dd525X-3VjfaH54CWLi8kC_Pp-ptL2njNH6sMl_OrV8rTBm7YC91GoMdWw3ZlGMQNGUGXzQNuSjsKQkyJonoQ8MCIQ11GYRwavO7UGyIwIksEcdywLmul5sNmdEUbiK0Iz3x0wrrD7brQg0YDQCFgW0Zo29FV7Vbuosm8a52ePBbaa6dBuq6d6b5SN7TSzKPZ6CakDDNBf94i-mnJ7Q_tE98M
linkProvider ProQuest
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E7%A5%9E%E7%BB%8F%E5%86%85%E9%95%9C%E4%B8%8E%E6%98%BE%E5%BE%AE%E9%95%9C%E4%B8%8B%E7%BB%8F%E9%BC%BB%E8%9D%B6%E5%85%A5%E8%B7%AF%E6%89%8B%E6%9C%AF%E6%B2%BB%E7%96%97%E5%A4%8D%E5%8F%91%E6%80%A7%E6%97%A0%E5%8A%9F%E8%83%BD%E6%80%A7%E5%9E%82%E4%BD%93%E8%85%BA%E7%98%A4%E7%9A%84%E7%96%97%E6%95%88%E5%88%86%E6%9E%90&rft.jtitle=%E4%B8%AD%E5%9B%BD%E7%8E%B0%E4%BB%A3%E7%A5%9E%E7%BB%8F%E7%96%BE%E7%97%85%E6%9D%82%E5%BF%97&rft.au=%E5%BE%90%E5%AD%A6%E5%8F%8B&rft.au=%E6%9D%A8%E6%8C%AF%E5%AE%87&rft.au=%E5%AE%8B%E4%BD%B3%E6%B3%89&rft.au=%E5%88%98%E5%81%A5&rft.date=2020-03-25&rft.pub=550004%E8%B4%B5%E9%98%B3%2C%E8%B4%B5%E5%B7%9E%E5%8C%BB%E7%A7%91%E5%A4%A7%E5%AD%A6%E9%99%84%E5%B1%9E%E5%8C%BB%E9%99%A2%E7%A5%9E%E7%BB%8F%E5%A4%96%E7%A7%91&rft.issn=1672-6731&rft.volume=20&rft.issue=3&rft.spage=198&rft.epage=203&rft_id=info:doi/10.3969%2Fj.issn.1672-6731.2020.03.011&rft.externalDocID=xdsjjbzz202003012
thumbnail_s http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=http%3A%2F%2Fwww.wanfangdata.com.cn%2Fimages%2FPeriodicalImages%2Fxdsjjbzz%2Fxdsjjbzz.jpg