经鼻蝶入路神经内镜治疗垂体腺瘤的现状及进展
摘要
经鼻蝶入路神经内镜治疗垂体腺瘤是近年来应用越来越广泛的手术方法。经鼻蝶入路神经内镜下垂体腺瘤的治疗分为标准入路与扩大入路两种方式,通过扩大入路,扩大了该方法的适应证,包括侵犯海绵窦、鞍上与斜坡的垂体腺瘤。经鼻蝶入路神经内镜治疗垂体腺瘤的并发症包括术中与术后大出血、脑脊液鼻漏、尿崩症等。目前在经鼻蝶入路神经内镜治疗垂体腺瘤中已经发展出一些新的技术。经鼻蝶入路神经内镜治疗垂体腺瘤具有损伤小、暴露充分、肿瘤全切率高以及术后并发症少等优点,在条件允许的情况下是垂体腺瘤治疗的理想方法。
引文
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[22]吴戈.经鼻蝶入路垂体瘤切除病人的围手术期护理[J].中国实用神经疾病杂志,2011,14(10):65-67.
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[24]谢伟,李海明,全伟,等.神经内镜下单鼻孔经蝶窦入路手术治疗垂体瘤的临床分析[J].中国现代药物应用,2013,7(23):78-79.
[25]Gaab MR.Neuroendoscopy in diagnosis and treatment of hydrocephalus by basal meningitis[J].World Neurosurgery,2012,77(2):306-308.
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[28]张会然,李素霞.垂体瘤36例经鼻蝶切除术手术配合与护理[J].中国实用神经疾病杂志,2013,16(24):100-101.
[2]中国垂体腺瘤协作组.中国垂体腺瘤外科治疗专家共识[J].中华医学杂志,2015,95(5):324-329.
[3]Pearson SM,Alavi SA,Seejore K,et al.Outcomes of endoscopic,endo-nasal,trans-sphenoidal pituitary adenoma surgery for Acromegaly and Cushing'disease:A single UK centre experience[J].Endocrine Abstracts,2017,50(249):294.
[4]廖建春,胡国汉,丁学华,等.经蝶进路垂体腺瘤切除术的体会及认识(附1 047例报告)[J].第二军医大学学报,2006,27(8):813-816.
[5]Jankowski R,Auque J,Simon C,et al.Endoscopic pituitary tumor surgery[J].Laryngoscope,1992,102(2):198-202.
[6]Jho HD,Carrau RL.Endoscopic endonasal transsphenoidal surgery:experience with 50 patients[J].J Neurosurg,1997,87(1):44-51.
[7]吕著海,杨伦先,张玉海,等.内窥镜下经蝶入路切除垂体瘤并发脑脊液漏术中颅底重建[J].立体定向和功能性神经外科杂志,2014,27(4):204-207.
[8]Mehta GU,Oldfield EH.Prevention of intraoperative cerebrospinal fluid leaks by lumbar cerebrospinal fluid drainage during surgery for pituitary macroadenomas[J].J Neurosurg,2012,116(6):1299-1303.
[9]Halvorsen H,Ramm-Pettersen J,Josefsen R,et al.Surgical complications after transsphenoidal microscopic and endoscopic surgery for pituitary adenoma:a consecutive series of 506 procedures[J].Acta Neurochir(Wien),2014,156(3):441-449.
[10]Plunkett C,Barkan AL.The care continuum in acromegaly:how patients,nurses,and physicians can collaborate for successful treatment experiences[J].Patient Prefer Adherence,2015,9:1093-1099.
[11]金建祥,张剑平.神经内镜下单鼻孔经蝶窦入路垂体瘤切除手术的临床体会[J].浙江医学,2015,37(13):1150-1152.
[12]Alahmadi H,Dehdashti AR,Gentili F.Endoscopic endonasal surgery in recurrent and residual pituitary adenomas after microscopic resection[J].World Neurosurg,2012,77(3/4):540-547.
[13]Fontana E,Gaillard R.Epidemiology of pituitary adenoma:results of the first Swiss study[J].Rev Med Suisse,2009,5(223):2172-2174.
[14]Yuan W.Managing the patient with transsphenoidal pituitary tumor resection[J].J Neurosci Nurs,2013,45(2):101-107.
[15]彭伟.认知心理干预对垂体瘤患者心理障碍影响的研究[J].延边医学,2015(12):210-211.
[16]张红赟,邢振义,孙来广.神经内镜与显微镜下经鼻蝶垂体瘤切除术的对比[J].中华实验外科杂志,2015,32(3):618-620.
[17]佟怀宇,魏少波,孟祥辉,等.经蝶窦垂体腺瘤手术中发生脑脊液漏的原因和防治[J].中华神经外科杂志,2011,27(2):156-158.
[18]周培志,程书文,杨章超,等.经颅垂体瘤手术中的鞍隔切口及缺损的一期修复重建[J].四川大学学报(医学版),2010,41(4):728-730.
[19]胡增春,魏明海,尹剑,等.265例垂体瘤术后并发症诊治分析[J].医学与哲学,2015,36(2):45-48.
[20]Komotar RJ,Starke RM,Raper DMS,et al.Endoscopic endonasal compared with microscopic transsphenoidal and open transcranial resection of giant pituitary adenomas[J].Pituitary,2012,15(2):150-159.
[21]余云湖,张大建,张川,等.1319例垂体腺瘤的外科治疗[J].中华神经外科杂志,2012,28(4):343-345.
[22]吴戈.经鼻蝶入路垂体瘤切除病人的围手术期护理[J].中国实用神经疾病杂志,2011,14(10):65-67.
[23]杨众,任祖渊,苏长保,等.经蝶窦入路手术切除垂体腺瘤的严重并发症分析[J].中国微侵袭神经外科杂志,2008,13(3):107-109.
[24]谢伟,李海明,全伟,等.神经内镜下单鼻孔经蝶窦入路手术治疗垂体瘤的临床分析[J].中国现代药物应用,2013,7(23):78-79.
[25]Gaab MR.Neuroendoscopy in diagnosis and treatment of hydrocephalus by basal meningitis[J].World Neurosurgery,2012,77(2):306-308.
[26]Niccolini M,Castelli V,Diversi C,et al.Development and preliminary assessment of a robotic platform for neuroendoscopy based on a light weight robot[J].Int J Med Robot,2016,12(1):4-17.
[27]Kang B,Castelli V,Diversi C,et al.Towards accurate robot-assisted neuroendoscopy using an ergonomic handling interface and a light weight robot[J].Conf Proc IEEE Eng Med Biol Soc,2014,2014:6876-6879.
[28]张会然,李素霞.垂体瘤36例经鼻蝶切除术手术配合与护理[J].中国实用神经疾病杂志,2013,16(24):100-101.