Jho H D, Carrau R L
Department of Neurological Surgery, University of Pittsburgh School of Medicine, PA, USA.
Acta Neurochir (Wien). 1996;138(12):1416-25. doi: 10.1007/BF01411120.
Inspired by an experience with endoscopic paranasal sinus surgery, an endoscope was applied in transsphenoidal pituitary surgery. This endoscopic transsphenoidal technique has been used in 45 cases of pituitary adenomas. Using a 4 mm rigid endoscope, the pituitary adenoma is removed through a nostril. A zero-degree endoscope is used for micro-adenomas. A combination of a 0-degree endoscope and a 30-degree endoscope is used for macro-adenomas that have extended to the suprasellar region. Although it is early in our experience with a small number of patients, the short-term surgical results have been encouraging with patients' short hospital stay and minimum morbidity. The endoscopic technique that has evolved with our experience is described with two cases of pituitary adenomas.
受鼻内镜鼻窦手术经验的启发，鼻内镜被应用于经蝶窦垂体手术。这种鼻内镜经蝶窦技术已用于45例垂体腺瘤患者。使用4毫米硬性鼻内镜，经鼻孔切除垂体腺瘤。对于微腺瘤使用零度鼻内镜。对于已延伸至鞍上区域的大腺瘤，则联合使用零度鼻内镜和30度鼻内镜。虽然我们治疗的患者数量较少且尚处于经验积累初期，但短期手术效果令人鼓舞，患者住院时间短且并发症最少。本文通过两例垂体腺瘤病例介绍了我们在实践中不断发展的鼻内镜技术。
