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本文通过分析神经内镜下经鼻蝶入路切除垂体肿瘤的解剖基础、手术方法、技术要点、优势及并发症等,并对传统开颅手术、经蝶显微镜下垂体瘤切除术与神经内镜手术进行比较,认为神经内镜下的视野明显广于显微镜,且内镜手术失血少,损伤少,能够减少疼痛,减少手术及住院时间,更符合微侵袭手术的要求。内镜经鼻蝶垂体瘤手术是一种简捷、迅速、安全、有效的手术入路,具有广阔的应用前景。
In this paper, by analyzing the anatomical basis, surgical methods, technical points, advantages and complications of resection of pituitary tumors by endoscopic transnasal approach under endoscopic sinus surgery, we analyzed the anatomic characteristics of pituitary tumor resected by endoscopic transnasal approach, Surgical comparison, that the visual field of endoscopic significantly wider than the microscope, and endoscopic surgery less blood loss, less damage, can reduce pain, reduce surgery and hospital stay, more in line with the requirements of minimally invasive surgery. Endoscopic transsphenoidal pituitary tumor surgery is a simple, rapid, safe and effective surgical approach, has broad application prospects.