Analysis of neuronavigation assisted microscopic transsphenoidal in treat-ment of 72 cases with non-invasived pituitary tumor resection
- VernacularTitle:神经导航辅助显微镜下经蝶切除非侵袭性垂体瘤72例临床分析
- Author:
Chongren WANG
1
;
Xin XU
;
Yu YOU
;
Lei HAN
;
Sijun ZHAO
;
Ming ZHAO
Author Information
1. 郑州大学附属肿瘤医院神经外科
- Keywords:
Pituitary tumor;
Transsphenoidal sugery microsurgical operation;
Complications
- From:
China Modern Doctor
2015;(16):39-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of neuronavigation assisted microscopic transsphenoidal resection of non-invasived pituitary tumor. Methods Retrospective analysis of clinical data of 72 cases of transsphenoidal operation for non-invasived pituitary tumor from January 2012 to January 2014. Results All patients were successfully completed the surgery, total resection in 65 cases, subtotal resection in 4 cases, partial resection in 3 cases, 7 cases in subtotal resection were treated with gamma knife radiotherapy after operation, hyperprolactin were given bromocriptine treatment after surgery. Patients were followed up for 6 months to 3 years, the remission rate was 89.2% in the postoperative headache, visual disorder remission rate 68.6%, endocrine disorders and the remission rate was 57.6%. 5 cases of post-operative cerebrospinal fluid rhinorrhea underwent repair, 8 cases had diabetes insipidus, 1 case of partial resection progressed to suprasellar and parasellar after 1.5 years, underwent craniotomy operation again. Conclusion For non-in-vasived pituitary tumor, microscopic transsphenoidal sugery is safe, convenient, and has no significant difference com-pared with the effect of endoscopic endonasal transsphenoidal approach.
