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本文介绍经蝶窦显微外科治疗垂体腺瘤的经验。经鼻入路手术8例,无一死亡,亦未发生严重并发症。作者认为:①充分掌握有关的解剖生理知识和备有深部照明、长柄手术器械及手术显微镜等,摘除蝶鞍内微小肿瘤并不太困难;②经口、鼻中隔正中入路最好。可避免手术深入时迷失方向,偏离中线,误伤蝶鞍周围的静脉窦或大血管,发生大出血的危险;③闭经溢乳型及生长激素型垂体腺癌多发生在垂体腹部的两侧,有利于经蝶窦摘除,不致损伤垂
This article describes the experience of transsphenoidal microsurgery for pituitary adenomas. Eight patients underwent nasal route surgery. No one died and no serious complications occurred. The author believes that: 1 to fully grasp the relevant anatomy and physiological knowledge and equipped with deep lighting, long-stem surgical instruments and surgical microscope, etc., removal of micro tumor in the sella is not too difficult; 2 oral, nasal septal median approach the best. It can avoid disorientation when the operation is deeper, deviate from the midline, and inadvertently injure the venous sinus or large blood vessels around the sella. The risk of major hemorrhage occurs. 3 Amenorrhea galactorrhea and growth hormone pituitary adenocarcinomas occur on both sides of the pituitary abdomen, which is beneficial to the Sphenoid sinus removal without damage