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硬质内窥镜在经蝶窦垂体手术中的应用。

The use of the rigid endoscope in trans-sphenoidal pituitary surgery.

作者信息

Gamea A, Fathi M, el-Guindy A

机构信息

Department of Otolaryngology, Tanta University, Egypt.

出版信息

J Laryngol Otol. 1994 Jan;108(1):19-22. doi: 10.1017/s0022215100125721.

DOI:10.1017/s0022215100125721
PMID:8133158
Abstract

The use of the rigid endoscope has been evaluated during transsphenoidal microsurgery of 10 pituitary adenomas: three were prolactin-secreting adenomas; five growth hormone (GH)-secreting adenomas; and two without evidence of known endocrine activity. The use of the endoscope allowed close inspection and differentiation between tumour tissue and glandular remains. This resulted in microdissection of the tumour with maximum preservation of pituitary function. The angled view of the telescope helped total gross removal of tumour tissue from the less accessible supra- and para-sella extensions. More cases and a longer period of follow-up are necessary to provide long-term results.

摘要

在10例垂体腺瘤的经蝶窦显微手术中对硬质内镜的使用进行了评估:3例为分泌催乳素的腺瘤;5例为分泌生长激素(GH)的腺瘤;2例无已知内分泌活动证据。内镜的使用使得能够对肿瘤组织和腺体残余进行仔细检查和区分。这使得在最大程度保留垂体功能的情况下对肿瘤进行显微解剖。望远镜的角度视野有助于从较难到达的鞍上和鞍旁延伸部位完全切除肿瘤组织。需要更多病例和更长的随访时间来提供长期结果。

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