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目的探讨显微镜下经鼻蝶治疗垂体瘤的手术方法和临床疗效。方法 120例在本院治疗的垂体瘤患者,在显微镜下经鼻蝶手术切除垂体瘤,对手术后的并发症给予及时和有效的处理。对影响治疗效果的因素进行分析。结果在显微镜下经鼻蝶治疗乳素腺瘤、生长激素腺瘤、皮质激素腺瘤、混合腺瘤的患者的治愈率分别为86.11%,90.00%,92.00%,78.57%,明显高于无功能腺瘤的治愈率40.00%,差异有统计学意义(P<0.05)。结论在显微镜下经鼻蝶治疗垂体瘤与肿瘤的内分泌类型有关。
Objective To investigate the surgical treatment of pituitary tumor by transnasal butterfly under microscope and its clinical efficacy. Methods One hundred and twenty patients with pituitary adenoma treated in our hospital underwent microsurgical resection of pituitary adenoma by nasal septum surgery, giving timely and effective treatment of postoperative complications. The factors that affect the effect of treatment are analyzed. Results The cure rates of transnasal autotransplantation for laryngeal adenoma, growth hormone adenoma, corticosteroid adenoma and mixed adenoma under microscope were 86.11%, 90.00%, 92.00% and 78.57%, respectively, which were significantly higher than those without function The cure rate of adenoma was 40.00%, the difference was statistically significant (P <0.05). Conclusion Under the microscope, transnasal butterfly treatment of pituitary tumors and tumor types of endocrine related.