The surgical treatment of pituitary adenoma by neuroendoscopic unilateral endonasal transsphenoid and the protection of pituitary function
10.3760/cma.j.issn.1008-6315.2009.05.031
- VernacularTitle:神经内镜下单鼻孔经蝶窦入路垂体腺瘤切除术中的垂体功能保护
- Author:
Yunchi BAI
;
Zhisheng KAN
;
Yongpeng CUI
;
Baojun LIU
;
Huan WANG
- Publication Type:Journal Article
- Keywords:
Pituitary adenoma;
Neuroendoscopy;
Unilateral endonasal;
Sphenoidal
- From:
Clinical Medicine of China
2009;25(5):530-532
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience of unilateral endonasal transsphenoidal pituitary adeno-ma resection under neuroendoscopy. Methods 48 patients with pituitary adenoma were treated by unilateral en-donasal transsphenoid under neuroendoscopy. During the dissection of the adenoma, attention should be paid to pro-tect pituitary stalk and gland. Results The postoperative MRI detection revealed that the tumor was totally removed in 40(83.3%) cases,subtotally in 6(12.5%) ,and partially in 2(4.2%). All patients were followed up for 10 -36 months. Among the 38 patients with increased hormone level ,24 recovered to normal hormone level postoperatively; 14 were improved evidently;pituitary insufficiency was not found in 38 cases;7 patients have temporary diabetes in-sipidus but the symptom was released in three weeks. Conclusion The surgical treatment of pituitary adenoma by neuroendoscopic unilateral endonasal transsphenoid has its advantage in achieving both complete resection of tumor and sound protection of pituitary stalk and gland. Neuroendoscopic operation offers greater help in improving the pa-tients' quality of survival.
