Department of Neurosurgery, Emory University, Atlanta, Georgia, USA.
Department of Neurosurgery, Emory University, Atlanta, Georgia, USA.
World Neurosurg. 2014 Dec;82(6 Suppl):S147-51. doi: 10.1016/j.wneu.2014.07.037.
To analyze current indications for transsphenoidal pituitary surgery.
The current literature regarding transsphenoidal surgery for all subtypes of pituitary adenomas and other sellar lesions was examined. Alternate approaches for pituitary surgery were also reviewed.
Transsphenoidal surgery continues to be the mainstay of surgical treatment for pituitary tumors, and has good outcomes in experienced hands. Pre- and postoperative management of pituitary tumors remains an important part of the treatment of patients with pituitary tumors.
Even as medical and surgical treatment for pituitary tumors evolves, transsphenoidal surgery remains a mainstay of treatment. Outcomes after transshenoidal surgery have improved over time. Neurosurgeons must be aware of the indications, risks and alternatives to transsphenoidal pituitary surgery.
分析经蝶窦垂体手术的当前适应证。
检查了关于各种类型垂体腺瘤和其他鞍区病变经蝶窦手术的当前文献。还回顾了垂体手术的其他替代方法。
经蝶窦手术仍然是垂体肿瘤手术治疗的主要方法，在有经验的手中具有良好的效果。在经验丰富的医生的治疗下，垂体肿瘤的术前和术后管理仍然是治疗垂体肿瘤患者的重要组成部分。
即使在针对垂体肿瘤的医学和手术治疗不断发展的情况下，经蝶窦手术仍然是治疗的主要方法。经蝶窦手术后的结果随着时间的推移而改善。神经外科医生必须了解经蝶窦垂体手术的适应证、风险和替代方法。
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