蝶窦手术

两组血糖控制率比较，兰瑞肽比胰岛素更能控制患者血糖（46.2%与33.3%比较，P0.05）。结论：经鼻-蝶窦手术是治疗垂体GH腺瘤的有效方法。

Lanreotide is superior to insulin in glycemic control rate ( 46.2 % VS 33.3 % , P0.05 ) . Conclusions : It is a effective method that patients with GH-secreting pituitary adenoma are treated by the means of transsphenoidal adenomectomy .

69例垂体肿瘤经鼻蝶窦手术入路的探讨

Study of 69 Cases Pituitary Neoplasm Resection Through Nose and Sphenoidal Sinus

神经内镜下再次经蝶窦手术治疗复发性垂体腺瘤

Repeated Endoscopic Endonasal Transsphenoidal Surgery for Recurrent Pituitary Adenomas

目的为额下经蝶窦手术入路切除垂体腺瘤提供解剖标志和解剖学参数。

Objective To supply anatomic landmarks and parameters for subfrontal transsphenoidal pituitary surgery .

经蝶窦手术治疗巨大垂体腺瘤

Management of giant pituitary adenomas by transsphenoidal surgery

内窥镜蝶窦手术的麻醉改进和眼部并发症的预防

Choice of anesthetic method and prevention of ophthalmic complication in sphenoid sinus endoscopic surgery

目的：探讨经蝶窦手术治疗巨大垂体腺瘤的临床效果。

Objective : To evaluate the therapeutical effect of staged transsphenoidal surgery for giant pituitary adenomas .

目的探讨开颅术后残留及复发性垂体腺瘤的再次经蝶窦手术。

Objective To discuss the transsphenoidal re-operations for residual and recurrent pituitary adenomas after the craniotomy .

目的总结垂体脓肿经蝶窦手术后复发的相关因素。

Objective To analyze the high risk factors related to recurrence of pituitary abscess after transsphenoidal surgery .

结论：经蝶窦手术切除垂体腺瘤是安全有效的；

Conclusion : Transsphenoidal surgery is a safe and effective approach in the treatment of pituitary adenomas .

经鼻-蝶窦手术切除者15例，行溴隐亭治疗者22例。

Fifteen cases were operated on via transsphenoidal route and twenty two cases were treated by bromocriptine therapy .

结果：4例经颅手术的病例皆达全切除，1例鞍上鞍内型肿瘤采用经蝶窦手术次全切除。

Results : Total resection was performed by craniotomy on 4 cases and subtotal resection by transsphenoidal approach .

方法：21例患者在鼻内镜下进行鼻腔蝶窦手术，其中全身麻醉2例，局部麻醉辅以强化麻醉19例。

Method : Twenty-one patients of sphenoid sinus diseases were treated with endoscopy by nasal cavity and sphenoid sinus .

结论：内窥镜经鼻－蝶窦手术是一种微创外科技术，可完全适用于垂体腺瘤的治疗。

Conclusion : The approach of endoscopic endonasal transsphenoid for pituitary adenoma have advantage of minimally invasive surgery and good curative effect .

方法1997年3月至2000年10月在经蝶窦手术入路中采用扩大梨状孔切除垂体大腺瘤96例，术中可增加梨状孔宽度，以便充分显露和敞开蝶窦中前部结构。

Methods From March 1997 to October 2000 , 96 patients of pituitary macroadenomas were treated by transsphenoidal microsurgery with enlarged piriform aperture .

结论①观测翼鳄窝区骨性结构，为翼愕窝神经阻滞、鼻内镜蝶窦手术提供解剖学参数，补充国人颅底显微解剖学资料。

Conclusions ( 1 ) The osseous structures of pterygopalatine fossa region were observed in order to provide anatomic parameters for block anesthesia and endoscopic surgery and enrich Chinese morphology data .

与经蝶窦手术鼻腔出血关系最密切的血管是鼻中隔后动脉，在扩大蝶窦开口时容易损伤，引起出血。

The posterior nasal septal artery and the nasal cavity haemorrhage have the most intimate relationships . The posterior nasal septal artery was injured easily during the sphenoidal ostium enlargement . 3 .

结论1.鞍区和鞍旁解剖结构复杂，全面掌握、熟悉鞍区和相邻周边的解剖学，是开展扩大经蝶窦手术的基础。

Sellar and parasellar region are a complicated anatomic structure . Overall prehension and be familiar with the anatomic study of the sellar and parasellar region can provide the operation basis of the extended transsphenoidal approach . 2 .

报告54例直径≥4cm的垂体巨腺瘤经蝶窦显微手术治疗结果。

Abstract cases of giant pituitary adenoma (≥ 4cm diameter ) treated by transsphenoidal microsurgery are reported .

结论经蝶海绵窦手术时，了解海绵间窦在鞍底的相对位置，并合理利用各CS静脉腔隙，能减少不必要的静脉出血，避免血管、神经的损伤。

Conclusions In transsphenoidal approach , opening of anterior and inferior intercavernous sinus is liable to result in intra-and postoperative venous bleeding , and understanding of the location of the intercavernous sinus and appropriate utilization of these CS may help reduce intraoperative vascular and nerve injury .

方法：采用经蝶窦显微手术治疗7例直径大于4cm的巨型垂体腺瘤，介绍手术的适应证和显微手术的技术。

Method : 7 cases of giant pituitary adenomas ( > 4 cm in diameter ) were operated by transsphenoidal microsurgery . The operative indications and microsurgical techniques were described .

经蝶海绵窦手术静脉腔隙的解剖学研究

Anatomical study of venous spaces in transsphenoidal approach for cavernous sinus surgery

垂体脓肿的诊断和经蝶窦显微手术治疗

Diagnosis and transsphenoidal microsurgery of pituitary abscess

方法对本院1995年以来82例经蝶窦显微手术的垂体腺瘤患者，按鞍底处理分为三类。

Method Since 1995 , 82 patients received transsphenoidal neurosurgery for resection of the pituitary adenoma .

目的：探讨经鼻内镜在孤立性蝶窦疾病手术中的作用。

Objective To investigate the effect of transnasal endoscopy in the management of isolated sphenoid sinus diseases .

内窥镜鼻窦外科技术在蝶窦区域手术的应用

Transnasal endoscopic surgery in the area of sphenoid sinus Clinical Application of Endoscopic Techniques to Neurosurgery for Intracranial Lesions

目的：为鼻内镜下经蝶窦垂体手术选择安全手术进路，避免损伤海绵间窦导致大出血提供解剖学参数。

Objective : To search for a safe approach for transsphenoidal endoscopic pituitary surgery , so as to avoid injury of intercavernous sinuses during the operation .

结论鼻内镜下孤立性蝶窦病变手术应首选直接到达蝶窦前壁或蝶窦开口进入蝶窦的手术进路。

Conclusions : This results suggests that the direct way to the front wall or ostium of sphenoid sinus in endoscopic sinus surgery seems to be a convenient , safe , valuable way for management of sphenoidal diseases .

MRI引导下经蝶窦垂体腺瘤手术的临床应用

Clinical Application of MRI Guided Trans-sphenoidal Surgery for Pituitary Adenoma

目的探讨无功能垂体大腺瘤经蝶窦入路手术后MRI随访的最佳时间。

Objective To study the optimal time of MRI follow-up after transsphenoidal surgery in patients with nonfunctional pituitary macroadenoma .