[1]武强,窦长武,徐成伟,等.神经导航辅助下内镜经蝶窦入路切除复杂垂体腺瘤[J].临床神经外科杂志,2016,(03):193-196.
　WU Qiang,GAO Nai-kang,XU Cheng-wei,et al.Neuro-navigation aided endoscopic transsphenoidal removal of complex pituitary adenoma[J].Journal of Clinical Neurosurgery,2016,(03):193-196.
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神经导航辅助下内镜经蝶窦入路切除复杂垂体腺瘤()

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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

Title:: Neuro-navigation aided endoscopic transsphenoidal removal of complex pituitary adenoma

Author(s):: WU Qiang; GAO Nai-kang; XU Cheng-wei; et al.; Department of Neurosurgery,Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010051,China

摘要:: 目的：探讨神经导航辅助下内镜经蝶窦入路切除复杂垂体腺瘤的临床应用。方法：回顾性分析2014年1月~2015年3月的，在神经导航辅助下内镜经鼻蝶窦入路行肿瘤切除术23例复杂垂体腺瘤患者，术后进行激素水平、临床症状改善情况及术后并发症的随访。结果：术后经病理证实均为垂体腺瘤，16例全切除，7例次全切除；次全切除的患者术后均给予立体定向放射治疗。2例患者分别在随访12个月和14个月时出现肿瘤复发，再次给予内镜经鼻蝶手术治疗，术后继续随访，未见复发。全部病例术后无严重并发症及死亡，随访时间5~20个月。结论：对于复杂垂体腺瘤的患者，将神经导航与内镜相结合，可充分发挥各自优势，可提高经蝶窦入路的手术安全性及切除率，减少并发症。

Abstract:: Abstract:Objective：To investigate the neuronavigation aided endoscopic nasal transsphenoidal removal of complex pituitary adenomas.Methods：a analysis in ,The clinical data of 23 patients with complex pituitary adenoma underwent neuronavigation aided endoscopic nasal transsphenoidal tumor resection from January 2014 to March 2015 were analyzed retrospectively.Their postoperative hormone levels,clinical symptoms improved and the postoperative complications were followed up.Results：Pathology was confirmed as pituitary adenoma after operation.The tumors were totally removed in 16 patients and subtotally in 7,who were treated by stereotactic radiotherapy.2 patients had tumor recurrence after the following up 12 months and 14 months and recived endoscopic nasal butterfly surgical resection,no recurrence occurred in the postoperative followup, no serious postoperative complications occurred after followup from 5 to 20 months.Conclusion：Combined neural navigation with endoscopic technology can make full use of each advantage,to improve the operation safety and removal rate,reduce postoperative complications for patients with complex pituitary adenoma.

[1]胡文瀚,王新生.内镜在显微血管减压术中安全性和有效性的系统回顾[J].临床神经外科杂志,2015,(02):81.
[2]徐建堃.神经导航和皮层体感诱发电位监测下中央区胶质瘤的手术治疗[J].临床神经外科杂志,2014,(02):96.
[3]黄乾亮,蒋秋华,叶新运.神经导航辅助下微侵袭技术在老年患者小脑出血中的应用[J].临床神经外科杂志,2014,(04):292.
[4]程超,黄进,张岩松,等.颞下经小脑幕锁孔入路解剖与临床应用[J].临床神经外科杂志,2014,(05):339.
[5]陈功,顾培元,胡卫星,等.神经导航引导下射频热凝治疗在切除颅内巨大富血供肿瘤中的应用[J].临床神经外科杂志,2014,(06):443.
[6]孙伟,刘卫东,伊藤康信,等.神经导航和X线定位下球囊后凸椎体成形术治疗胸腰椎压缩性骨折[J].临床神经外科杂志,2017,14(05):369.
　SUN Wei,LIU Wei-dong,ITOHN Yasunobu,et al.Neuronavigation and X-ray assisted BKP in treatment of thoracolumbar compression fractures[J].Journal of Clinical Neurosurgery,2017,14(03):369.
[7]金鑫,谭家亮,孙祯卿,等.脑裂头蚴病的诊断及手术取出活虫的经验[J].临床神经外科杂志,2019,16(6):518.[doi:10.3969/j.issn.1672-7770.2019.06.012]
　JIN Xin,TAN Jia-liang,SUN Zhe-qing,et al.Experience in diagnosis and successful removal of live worms for cerebral echinococcosis[J].Journal of Clinical Neurosurgery,2019,16(03):518.[doi:10.3969/j.issn.1672-7770.2019.06.012]

更新日期/Last Update: 2016-06-15