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目的探讨在导航引导下经鼻蝶切除垂体腺瘤的治疗效果。方法回顾2004-2005 年导航引导与非导航引导下经鼻蝶切除垂体腺瘤患者57例,对所有病例分别统计术前年龄、肿瘤大小、手术麻醉时间、切除肿瘤时手术时间、术后住院天数、术后并发症,术后3个月复查MRI提示肿瘤全切程度,结果用SPSS 11．0软件进行统计,分析两组之间结果的差异。结果导航组与非导航组中患者年龄、肿瘤大小、麻醉时间、手术后住院天数、术后并发症方面无显著性差异,而手术时间及术后3 个月复查MRI提示肿瘤全切率有显著性差异。结论在导航引导下经鼻蝶切除垂体腺瘤提高了垂体腺瘤患者肿瘤的全切率,缩短了手术切除肿瘤的时间。
Objective To investigate the therapeutic effect of transnasal butterfly excision of pituitary adenoma under guidance of navigation. Methods From 2004 to 2005, 57 cases of pituitary adenoma under nasal autotransplantation guided by navigational guidance and non-navigational guidance were retrospectively analyzed. Preoperative age, tumor size, operative anesthesia time, tumor removal time, postoperative hospital stay , Postoperative complication, MRI examination 3 months after surgery prompted the degree of complete tumor resection, the results using SPSS 11.0 software for statistical analysis of the results between the two groups differences. Results There were no significant differences in patient age, tumor size, anesthesia time, hospitalization days after operation and postoperative complications between the navigation group and the non-navigation group. However, the time of operation and the MRI review 3 months after operation showed that the total tumor removal rate was significant Sex differences. Conclusions Transnasal butterfly excision of pituitary adenomas under the guidance of navigation improves the rate of tumor resection in patients with pituitary adenoma and shortens the time of tumor resection.