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垂体腺瘤根治性切除术后立即出现视力恶化。

Immediate visual deterioration after attempts at radical excision of pituitary adenomas.

作者信息

Sanchis J, Bordes M

出版信息

Acta Neurochir (Wien). 1977;38(3-4):251-8. doi: 10.1007/BF01401095.

DOI:10.1007/BF01401095
PMID:920308
Abstract

Thirty cases of pituitary tumour have been operated on in the last five years by a transfrontal approach, using microsurgical technique. Three cases of postoperative blindness are described, with an analysis of possible contributory factors and causative mechanisms, prognosis, and measures to lessen the risk of this complication. The possibility of an impairment in the chiasma blood supply is discussed. Although the use of the microscope makes the removal of the so-called capsule an easier surgical task, it is recommended that this structure should be left undisturbed.

摘要

在过去五年中,采用经额入路的显微外科技术对30例垂体瘤患者进行了手术。本文描述了3例术后失明的病例,并分析了可能的促成因素、致病机制、预后以及降低这种并发症风险的措施。讨论了视交叉血液供应受损的可能性。尽管使用显微镜使切除所谓的包膜成为一项更容易的手术任务,但建议不要触动该结构。

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Immediate visual deterioration after attempts at radical excision of pituitary adenomas.垂体腺瘤根治性切除术后立即出现视力恶化。
Acta Neurochir (Wien). 1977;38(3-4):251-8. doi: 10.1007/BF01401095.
2
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Acta Neurochir (Wien). 2010 Aug;152(8):1283-90. doi: 10.1007/s00701-010-0654-1. Epub 2010 May 9.
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[Vision deterioration after transsphenoidal surgery for removal of pituitary adenoma].[经蝶窦手术切除垂体腺瘤后的视力减退]
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引用本文的文献

1
Recovery of vision following treatment of pituitary tumours; application of a new system of assessment to patients treated by transsphenoidal operation.垂体瘤治疗后的视力恢复;将一种新的评估系统应用于经蝶窦手术治疗的患者。
Acta Neurochir (Wien). 1983;68(3-4):175-86. doi: 10.1007/BF01401176.

本文引用的文献

1
The results of 300 pituitary adenoma operations (Prof. Herbert Olivecrona's series).300例垂体腺瘤手术的结果(赫伯特·奥利维克隆纳教授的系列病例)
J Neurosurg. 1950 May;7(3):240-55. doi: 10.3171/jns.1950.7.3.0240.
2
Complications involving the optic nerves and chiasm during the early period after neurosurgical operations.神经外科手术后早期涉及视神经和视交叉的并发症。
J Neurosurg. 1962 Jan;19:51-64. doi: 10.3171/jns.1962.19.1.0051.
3
[Changes in visual disorders after ablation of pituitary tumors].[垂体肿瘤切除术后视力障碍的变化]
Neurochirurgie. 1958 Oct-Dec;4(4):329-31.
4
The blood vessels of the human optic chiasma and their relation to those of the hypophysis and hypothalamus.人类视交叉的血管及其与垂体和下丘脑血管的关系。
Brain. 1958 Jun;81(2):207-17. doi: 10.1093/brain/81.2.207.
5
Blood supply of the optic nerves and chiasma and its clinical significance.视神经及视交叉的血液供应及其临床意义。
Br J Ophthalmol. 1958 Feb;42(2):106-25. doi: 10.1136/bjo.42.2.106.
6
Vascularization of the optic pathway. V. Chiasma.视路的血管形成。V. 视交叉
Br J Ophthalmol. 1956 Dec;40(12):730-41. doi: 10.1136/bjo.40.12.730.
7
Visual damage after removal of hypophyseal adenomas: possible importance of vascular disturbances of the optic nerves and chiasma.
Acta Neurochir (Wien). 1966;15(1):1-10. doi: 10.1007/BF01405064.
8
The arterial supply of the human optic chiasm.人类视交叉的动脉供应。
J Neurosurg. 1969 Sep;31(3):327-34. doi: 10.3171/jns.1969.31.3.0327.
9
The empty sella syndrome.空蝶鞍综合征。
J Neurosurg. 1968 Apr;28(4):351-6. doi: 10.3171/jns.1968.28.4.0351.
10
Surgical experience with chromophobe adenomas of the pituitary gland.垂体嫌色性腺瘤的手术经验
J Neurosurg. 1971 Jun;34(6):726-9. doi: 10.3171/jns.1971.34.6.0726.