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目的 :介绍垂体腺瘤不同显微手术入路治疗的近期疗效。方法 :分析 2 8例垂体腺瘤的临床特点、生长特征、影像学资料 ,选择相应的手术入路。结果 :肿瘤全切 11例 ,术后无脑脊液漏及颅内感染 ,所有患者均恢复正常生活或工作 ,无一死亡。结论 :根据肿瘤的性质、大小和生长程度 ,选择相应的手术入路是十分重要的 ,对于巨腺瘤采用经蝶与经颅联合入路较为稳妥。
Objective: To introduce the short-term efficacy of different microsurgical approaches for pituitary adenomas. Methods: The clinical features, growth characteristics, and imaging data of 28 pituitary adenomas were analyzed. The corresponding surgical approach was selected. Results: All the tumors were cut in 11 cases. There was no cerebrospinal fluid leakage and intracranial infection after operation. All patients returned to normal life or work and none died. Conclusion : According to the nature, size and growth of the tumor, it is very important to select the appropriate surgical approach. It is safer to use transsphenoidal and transcranial approach for macroadenomas.