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目的 :比较分析经单侧鼻孔蝶窦入路显微切除垂体肿瘤微创手术与传统经颅入路垂体瘤切除术的临床疗效。方法 :选取我科收治住院的拟行垂体肿瘤切除手术的患者列为研究对象。将60名垂体肿瘤患者分为试验组和对照组。试验组30例患者均采取经单鼻孔蝶窦显微入路切除垂体肿瘤,对照组30例患者均采取传统经颅入路垂体肿瘤切除术。结果 :试验组30例垂体肿瘤患者的手术时间长度、术中的出血量以及在围手术期中的住院天数均显著低于对照组,数据均具有统计学意义。结论 :经单侧鼻孔蝶窦显微入路切除垂体肿瘤微创手术的手术具有缩短手术时长,降低手术出血量,术后恢复时间短,术后并发症的事件发生率低等优点。
Objective: To compare and analyze the clinical curative effect of minimally invasive surgery for pituitary tumors by transnasal sinus sphenoid sinus approach and conventional transcranial approach for pituitary tumor resection. Methods: Select our hospital admitted to hospital for pituitary tumor resection surgery patients as a research object. Sixty pituitary tumor patients were divided into experimental group and control group. Thirty patients in the test group were treated by single-nostril sphenoid sinus microsurgical removal of pituitary tumors, control group of 30 patients were taken by conventional transcranial approach pituitary tumor resection. Results: The length of operation, the amount of bleeding during operation and the number of days of hospitalization during perioperative period were significantly lower in the 30 patients with pituitary tumor in the experimental group than those in the control group. The data were statistically significant. Conclusion: The operation of minimally invasive surgery for pituitary tumor by unilateral nasal spheno-sinus microsurgery has the advantages of shortening the operation time, reducing the amount of bleeding after operation, short recovery time after operation, and low postoperative complications.