神经导航辅助下经鼻蝶入路神经内镜切除垂体腺瘤22例临床分析

Clinical analysis of 22 cases with pituitary adenoma treated by neural endoscopic resection nasal butterfly into the road through the hypertensive putaminal hemorrhage

摘要:

目的??探讨神经导航辅助下经鼻蝶入路微创内镜切除垂体腺瘤临床应用价值。方法?回顾性分析该院2013年1月-2015年1月收治垂体腺瘤患者共22例，均在神经导航辅助下经鼻蝶入路行微创内镜切除，术中对肿瘤组织及周围重要解剖结构进行准确定位，确定病灶切除程度。结果?所有病例均成功完成手术，其中肿瘤全切除19例，次全切除3例；术后出现一过性尿崩症7例，2例发生短暂性脑脊液漏，无颅内感染及死亡病例。结论?神经导航辅助下经鼻蝶入路微创内镜切除垂体腺瘤可准确定位肿瘤组织，实时观察病灶大小及周围重要解剖结构；通过神经导航与微创内镜联合运用可在最大范围内对肿瘤进行安全切除，明显减少术中创伤和术后并发症。

Abstract:

Objective?To explore the clinical value of patients with pituitary adenoma treated by neural endoscopic resection nasal butterfly into the road through the hypertensive putaminal hemorrhage.?Methods?From January 2013 to January 2015, clinical data of 22 patients with pituitary adenoma was retrospectively analyzed. All patients were treated by neural endoscopic resection nasal butterfly into the road through the hypertensive putaminal hemorrhage, conduct accurate location for the tumor tissue and the surrounding important anatomical structures during operation and determine the degree of lesion resection.?Results?All patients were successfully completed surgery, 19 cases with total thyroidectomy of the tumor, 3 cases with sub-total thyroidectorny; 1 cases occurred transient diabetes insipidus, 2 cases occurred Transient cerebrospinal fluid leakage, no cases of intracranial infection and death.?Conclusions?Given neural endoscopic resection nasal butterfly into the road through the hypertensive putaminal hemorrhage for patients with pituitary adenoma can positioning tumor tissue accurately, around the lesion size and important anatomical structures in a situ observation; Through neural navigation and minimally invasive endoscopic combination can within the scope of the biggest security on tumor resection, and it can reduce intraoperative trauma and postoperative complications significantly.