【摘要】 目的　评价显微镜下经单鼻孔蝶窦入路切除垂体腺瘤的疗效。　方法　采用经单鼻孔蝶窦入路行垂体腺瘤切除术 2 0例 ,其中微腺瘤 8例 (<10mm) ,小腺瘤 8例 (10～ 2 0mm) ,中腺瘤 3例 (2 0～ 30mm) ,大腺瘤 1例 (>30mm) ;PRL腺瘤 9例 ,GH腺瘤 6例 ,ACTH腺瘤 5例。　结果　本组 2 0例无并发症 ,平均随访 5 (2～ 10 )个月 ,患者临床症状较术前均有不同程度改善 ,手术效果良好。　结论　经单鼻孔蝶窦入路垂体瘤切除术效果好 ,术中损伤小 ,患者痛苦少 ,术后康复快 ,没有或较少出现并发症。更多还原

【Abstract】 Objective To assess the effect of endonasal transsphenoidal surgery for pituitary adenoma. Methods 20 patients underwent pituitary adenoma resection by endonasal transsphenoidal approach. There were 8 patients with micro adenoma(<10 mm), 8 patients with little adenoma(10～20 mm), 3 patients with big adenoma(20～30 mm) and 1 patients with macro adenoma(>30 mm). The pathologic diagnosis is PRL adenoma (9 cases), GH adenoma (6 cases) and ACTH adenoma (5 cases). Results All patients were followed up for 2 to 10 months without complication. The clinical symptoms improved postoperatively. Conclusion It is an effective, less trauma surgery for pituitary adenoma resection by endonasal transsphenoidal approach without or with less complications.更多还原