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目的探讨单鼻孔经鼻中隔中段入路切除垂体腺瘤的手术技巧和疗效。方法对68例患者采用单鼻孔经蝶窦入路切除垂体腺瘤,其中巨大腺瘤9例,大腺瘤55例,微腺瘤4例。术中通过鼻中隔中段,即鼻软骨和筛骨垂直板交界部,辨认中线结构。结果手术时间60～180min,平均90min。全切和近全切除61例,大部切除5例,部分切除2例。无手术死亡。结论该入路适宜切除大多数垂体腺瘤,是一种安全、有效、创伤小的手术入路。
Objective To investigate the surgical technique and curative effect of single nostril transection of mid-nasal septum for pituitary adenoma. Methods Sixty-eight patients underwent resection of the pituitary adenomas by single nostril transsphenoidal approach, including 9 cases of giant adenoma, 55 cases of large adenoma and 4 cases of macroscopic adenoma. Midline through the middle of the nasal septum, the nasal cartilage and ethmoid vertical plate junction, identify the midline structure. Results The operation time was 60 ~ 180min with an average of 90min. Total and near total resection in 61 cases, 5 cases of partial resection, partial resection in 2 cases. No surgery died. Conclusion This approach is suitable for resection of most pituitary adenomas and is a safe, effective and less invasive surgical approach.