Clinical research of microneurosurgery for pituitary adenoma with superciliaryarch-keyhole approach
10.3760/cma.j.issn.1674-6090.2010.04.004
- VernacularTitle:眉弓锁孔入路治疗垂体大腺瘤的临床研究
- Author:
Xueyuan LI
;
Xingang LI
;
Xueguang ZHANG
;
Lianqun ZHANG
;
Anjing GONG
- Publication Type:Journal Article
- Keywords:
Pituitary adenoma;
Superciliaryarch-keyhole approach
- From:
Journal of Endocrine Surgery
2010;04(4):225-227
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study clinical effects and complications of minimal invasive neurosurgery for pituitary adenoma through superciliaryarch-keyhole approach. Methods 127 cases pituitary adenoma in three hospitals in Shangdong province from May. 2006 to Sept. 2009 confirmed by surgery were analyzed. Patients were treated by different operative approaches, 53 cases using surgery through superciliaryarch-keyhole approach and 74 cases through conventional subfrontal approach. Clinical parameters were compared in patients undergoing surgery through different approaches. Results There were no differences in two groups, in aspects such as resection rate, improvment of endocrine hormone secretion and acuity of vision with campus visualis, electrolyte disturbances, hypothalamus damage (P ＞0.05). Significant differeces reside in average hospitalization days, subcutaneous fluidify, psychiatric symptom and circumscribed cerebral ischemia ( P ＜ 0.05 ). Conclusion Advantages of minimal invasive neurosurgery through superciliary arch approach such as less trauma, better expose,shorter hospitalization days, less subcutaneous fluid accumulation and psychiatric symptoms in terms of this apporach are suitable for removing hypophyseal adenomas that grow on or around sella turcica.
