Fatović Ferencić Stella, Gnjidić Zivko
Department for the History and Philosophy of Sciences, Division for the History of Medical Sciences, Croatian Academy of Sciences and Arts, Zagreb, Croatia.
Croat Med J. 2006 Apr;47(2):310-7.
We reconstructed the historical development of surgical approaches to the pituitary gland, which were used in Croatia in the first half of the 20th century, on the basis of earliest clinical case reports and descriptions of initial surgical attempts. The first published case report on surgical treatment of acromegaly was described, as well as the review of 11 patients with pituitary disease admitted to the Ophthalmology Clinic in Zagreb in the period 1925-1927. The earliest 5 reports on pituitary surgery dating from 1925 were analyzed to reveal the circumstances that led to the development of transsphenoidal approach as a method of choice in Croatia, when this technique was becoming obsolete in other parts of the world. Frequent modifications of surgical approaches to sellar region have been shown a suitable historical-medical model for analysis of changes in surgical trends.
我们根据最早的临床病例报告和首次手术尝试的描述，重构了20世纪上半叶在克罗地亚使用的垂体手术方法的历史发展。描述了关于肢端肥大症手术治疗的首篇发表病例报告，以及对1925年至1927年期间收治于萨格勒布眼科诊所的11例垂体疾病患者的回顾。分析了最早可追溯至1925年的5篇垂体手术报告，以揭示在经蝶窦入路在世界其他地区逐渐过时的情况下，该入路在克罗地亚成为首选手术方法的发展背景。蝶鞍区手术方法的频繁改进已被证明是分析手术趋势变化的合适历史医学模型。
