Microsurgery and strategies of patients with pituitary adenomas through single-nostril transsphenoidal approach
- VernacularTitle:经单鼻孔-蝶窦入路垂体腺瘤显微手术治疗及其策略
- Author:
Chaoshi NIU
;
Wanhai DING
;
Ying JI
;
Shiying LING
;
Xiaofeng JIANG
;
Ruobing QIAN
;
Xiangping WEI
;
Xianming FU
- Publication Type:Journal Article
- Keywords:
Pituitary adenoma;
Single-nostril transsphenoidal approach;
Microsurgical operation
- From:
Chinese Journal of Microsurgery
2008;31(2):112-115
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analysis the therapeutic effect of microsurgery through single-nostril transsphenoidal approach on pituitary adenomas and to study the surgical skill and postoperative complications about microsurgery for pituitary adenomas.Methods The clinical manifestations,pathological type, removal percentage,postoperative complications and follow-up data of 241 cases with pituitary ademoma by microsurgery through single-nostril transsphenoidal approach were analysed retrospectively.Results 171(7 1%)cases were achieved total tumor removal,28(11.6%)cases were achieved subtotal tumor removal,26(10.7%)cases were achieved most tumor removal and 16(6.6%)cases were achieved partial tumor removal.Most of patients achieved better results,however there were 38(15.8%)eases with diabetes insipidus,12(4.9%)cases with transient worse sight,4(1.6%)cases with cerebrospinal fluid leakage,2(0.8%)cases with oculomotor paralysis,and no death.The postoperative complications were cured and outcome was considered as good.The follow-up period was 1-36 months in 241 patients and the clinical symptoms were improved by different degrees.Conclusion Pituitary adenomas can be treated by microsurgery through single-nostril transsphenoidal approach due to the time of operation shorten,the postoperative complications.
