神經(jīng)內(nèi)鏡經(jīng)鼻蝶入路垂體大腺瘤手術(shù)的臨床研究.pdf

1、大連醫(yī)科大學(xué)碩士學(xué)位論文神經(jīng)內(nèi)鏡經(jīng)鼻蝶入路垂體大腺瘤手術(shù)的臨床研究姓名：周世聰申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：神經(jīng)外科學(xué)指導(dǎo)教師：李旭琴20090601EndoscopicendonasaitranssphenoidalsurgeryforbigpituitarYtUmorscllnlCstudy‘’●lMasterdegreecandidate：ZhouShicongSupervisor：ProfessorLiXuqinMajor：Neuro

2、surgeryAbstractObjective：Todiscussthepossibility，advantagesanddisadvantages，methods，complicationsandfollowupresultsofendoscopicremovalofpituitaryadenomabyendonanasaltrassphenoidalapproachMethods：Thearticlehadaretrospecti

3、veanalysisof13patientsfromtheCenterHospitaloftheCityoftheDalian，whoweretreatedfortheirbigpituitaryadenomasbyendoscopicendonasaltranssphenoidalsurgeryinOctober2006toOctober2008，andanalyticalstudieswereresearchedfromtheasp

4、ectsofpreparationsbeforetheoperation，theprocess，results，complicationsandfollowupresultsoftheoperation，andSOonResults：theoperationswerecompletelyaccuratelyandsuccessfullyof13patients，allofwhichwereoperatedwith10(77％)total

5、resections，with2(15％)subtotalresectionand1(8％)majorresectionOf9patientsofhighhormone，thelevelofhormoneof7cases(78％)decreasedby80％，and2cases(22％)50％levelMeanwhile，5casespatientshadthesymptompolyuriaaftersurgery，includingt

6、emporarypolyuriaof4cases；1casespatienthasbeencerebrospinalrhinorrheaaftersurgeryConclusion：endoscopicendonasaltranssphenoidalsurgeryforbigpituitarytumorshavesomeadvantagesincludingmoretinytissuelesion，goodView，morecomple