神经内镜与显微镜经单鼻孔蝶窦入路垂体腺瘤切除术的临床比较

摘要

ObjectiveTo evaluate the clinical value and prognosis of endoscope and microscope for the treatment of single nostril transsphenoidal resection of pituitary adenoma.Methods 101 cases of pituitary adenoma patients were selected as the research object. According to the order of admission, they were divided into endoscopic group and the microscope group. We compared the difference of each indicators and the incidence of complication.Results In group A, operation was signiifcantly longer than those of group B, but the total hospitalization time was shorter than that of group B (P<0.05). The related complication rate in group B was 20%, which was obviously higher than that of group A (P<0.05). Conclusion the curative effect of single nostril transsphenoidal resection of pituitary adenoma via neural endoscope is accurate, which is worth the clinical promotion.%目的：比较神经内镜与显微镜经单鼻孔蝶窦入路垂体腺瘤切除术的临床应用价值及对患者的预后影响。方法选取101例垂体腺瘤患者为研究对象，根据其入院顺序分成神经内镜组和显微镜组两组，比对其各项治疗指标差异及并发症。结果 A组手术用时明显长于B组，但总住院时间短于B组（P＜0.05）；B组相关并发症发生率为20.0%，明显高于A组（P＜0.05）。结论对脑垂体腺瘤患者予以神经内镜下经单鼻孔蝶窦入路切除术，疗效确切。