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经显微镜下经蝶窦入路治疗垂体肿瘤及鞍旁非肿瘤性疾病的手术经验。

Surgical experience with a microscopic transsphenoidal approach to pituitary tumors and non-neoplastic parasellar conditions.

作者信息

Wilson C B, Rand R W, Grollmus J M, Heuser G, Levin S, Goldfield E, Schneider V, Linfoot J, Hosobuchi Y

出版信息

Calif Med. 1972 Nov;117(5):1-9.

PMID:4638402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1518565/
Abstract

Improved surgical microscopes and intraoperative radiofluoroscopic television have revived the transsphenoidal approach to pituitary tumors. The transsphenoidal approach offers an alternative to craniotomy, and in certain situations it has distinct advantages. The reported experience includes the common pituitary tumors, hypersecreting microadenomas, cerebrospinal rhinorrhea and parasellar aneurysms. The surgical technique, indications and contraindications, and results in 44 transsphenoidal operations are described.

摘要

改良的手术显微镜和术中放射荧光电视技术使经蝶窦入路治疗垂体肿瘤得以复兴。经蝶窦入路为开颅手术提供了一种替代方法,在某些情况下具有明显优势。已报道的经验包括常见的垂体肿瘤、分泌过多的微腺瘤、脑脊液鼻漏和鞍旁动脉瘤。本文描述了44例经蝶窦手术的手术技术、适应证和禁忌证以及手术结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a29/1518565/659d4e692302/califmed00119-0035-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a29/1518565/659d4e692302/califmed00119-0035-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a29/1518565/659d4e692302/califmed00119-0035-a.jpg

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本文引用的文献

1
ACTH-producing pituitary tumors following adrenalectomy for Cushing's syndrome.库欣综合征肾上腺切除术后产生促肾上腺皮质激素的垂体肿瘤。
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A patient with a pituitary tumor operated on by the cranial method, re-operated four years later for recurrence by the transphenoidal method and followed for 37 years.一名垂体瘤患者接受了开颅手术,四年后因复发接受经蝶窦手术,并随访了37年。
Confin Neurol. 1959;19:398-413. doi: 10.1159/000105009.
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Life-long cures and improvements after transsphenoidal operation of pituitary tumors. (Thirty-three patients, followed-up for 20-37 years).
垂体瘤经蝶窦手术后的终身治愈及改善情况。(33例患者,随访20 - 37年)
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Transantrosphenoidal hypophysectomy.经蝶窦垂体切除术。
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Transphenoidal microsurgery of the normal and pathological pituitary.正常及病理性垂体的经蝶窦显微手术
Clin Neurosurg. 1969;16:185-217. doi: 10.1093/neurosurgery/16.cn_suppl_1.185.
10
Removal of certain hypophyseal tumors by the transantral-sphenoid route.经鼻窦-蝶窦途径切除某些垂体瘤。
J Neurosurg. 1965 Dec;23(6):603-11. doi: 10.3171/jns.1965.23.6.0603.