[1]王新栋,汤阳阳,刘厚强,等.神经内镜与显微镜下经鼻蝶垂体腺瘤切除的疗效比较[J].临床神经外科杂志,2018,15(04):292-300.
 WANG Xin-dong,TANG Yang-yang,LIU Hou-qiang,et al.Comparison of neuroendoscopic and transnasal-sphenoidal microscopic resection of pituitary adenoma[J].Journal of Clinical Neurosurgery,2018,15(04):292-300.
点击复制

神经内镜与显微镜下经鼻蝶垂体腺瘤切除的疗效比较()
分享到:

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

卷:
15
期数:
2018年04期
页码:
292-300
栏目:
论著
出版日期:
2018-08-15

文章信息/Info

Title:
Comparison of neuroendoscopic and transnasal-sphenoidal microscopic resection of pituitary adenoma
作者:
王新栋汤阳阳刘厚强包爱军丁允波孟庆明郭堂军李祥
221000 徐州,徐州医科大学附属医院神经外科
Author(s):
WANG Xin-dongTANG Yang-yangLIU Hou-qianget al.
Department of Neurosurgery,the Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China
关键词:
神经内镜显微镜垂体瘤经鼻蝶
Keywords:
neuroendoscopicmicroscopepituitary adenomatransnasa
分类号:
R736.4
文献标志码:
A
摘要:
目的 比较神经内镜与显微镜下经鼻蝶垂体腺瘤切除的临床疗效。方法 回顾性分析徐州医科大学附属医院同期手术治疗的64例垂体腺瘤患者的临床资料;其中显微镜下经鼻蝶切除34例,神经内镜下切除30例。比较两组患者的手术时间、术中出血、术后住院时间、肿瘤全切率,以及术后并发症发生率。结果 神经内镜组与显微镜组的手术时间(P=0.001)、术中出血量(P=0.032)、术后住院时间(P=0.027)、肿瘤全切率(P=0.04)、术后并发症发生率(P=0.043)、脑脊液鼻漏发生率(P=0.03)之间比较,差异均有统计学意义。结论 神经内镜下经鼻蝶垂体腺瘤切除术较显微镜手术,具有术中出血量少、住院时间短、肿瘤全切率高、术后并发症发生率低、术后脑脊液鼻漏发生率低的优势。
Abstract:
Objective To compare the clinical efficacy of neuroendoscopic and transnasal-sphenoidal microscopic resection of pituitary adenoma.Method The clinical data of 64 patients with pituitary adenoma during this period underwent the operation in our hospital were analyzed respectively.Of 64 patients,34 were resected in transnasal-sphenoidal microscope group and 30 in endoscope group.The operation time,intraoperative bleeding,postoperative hospital stay,tumor resection and postoperative complications of two groups were observed.Result Endoscope and microscope group in operative time (P=0.001),intraoperative hemorrhage (P=0.032),postoperative length of hospital stay (P=0.027),tumor total resection rates (P=0.040),the incidence of postoperative complications (P=0.043),cerebrospinal fluid leak rate (P=0.030) were statistically significant.Conclusion For this article,endoscopic transnasal-sphenoidal pituitary adenoma resection is more effective than microscopic surgery in intraoperative bleeding,hospitalization,tumor all cut rates,postoperative complications,especially in the prevention of postoperative cerebrospinal fluid leakage.

相似文献/References:

[1]佘磊,李育平,张恒柱,等.神经内镜锁孔入路与传统开颅术治疗颅内血肿的对比研究[J].临床神经外科杂志,2014,(01):33.
[2]徐成伟,朱宏伟,高乃康,等.142例鞍区占位病变手术治疗总结[J].临床神经外科杂志,2014,(01):51.
[3]马俊伟,蒋栋毅,陈寒春,等.神经内镜下经鼻蝶入路垂体腺瘤手术切除的临床疗效分析[J].临床神经外科杂志,2015,(01):48.
[4]张红波,陈谦学,穆林森.斜坡异位泌乳素垂体腺瘤1例临床分析并文献复习[J].临床神经外科杂志,2016,(01):16.
[5]荣道建,杨晓健,赵俊伟.神经内镜辅助原发性三叉神经显微血管减压术[J].临床神经外科杂志,2015,(02):89.
[6]张元隆,江常震,王晨阳.经额开颅手术后额窦炎的处理[J].临床神经外科杂志,2015,(05):380.
[7]耿鑫.CT引导内窥镜立体定向术治疗颅内病变的临床研究[J].临床神经外科杂志,2014,(02):122.
[8]陈旭东,朱美晓,成力伟,等.微骨孔入路神经内镜下超早期治疗脑出血疗效研究[J].临床神经外科杂志,2014,(03):197.
[9]魏雪峰,曹富裕,李宗正.三种不同方式治疗高血压脑基底节区出血的回顾性临床研究[J].临床神经外科杂志,2014,(06):456.
[10]马驰原,张亚卓.内镜颅底外科手术中的颅底重建[J].临床神经外科杂志,2016,(02):81.
[11]王勇,吴冲,张洪亮,等.神经内镜下切除功能性垂体瘤术后激素水平改善的效果分析[J].临床神经外科杂志,2015,(04):265.

更新日期/Last Update: 1900-01-01