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《Qianwei Journal of Medicine》 2002-01
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Microsurgical therapy and prevention&treatment of the complication for giant pituitary adeno-ma

Xiong Hui ,Lu Yicheng,Ding Xuehua,et al.Department of Neurosurgery,the148th Hospital of PLA,Zhou cun255300,China  
Objective To summarize the each microsurgical therapy for giant pituitary adenoma and the effect of cure,analyse the reason of postoperative complication,and discuss the measure s of pre ven tion.Methods Retrospectively analysed postoperative outcome of giant pitu itary adenoma (206cases)between1981and2000that have been final diagnosis by CT,MRI scan and en docrine examination.Operations for removal of tumour were performed only via the pterional craniotomy in group A(83cases),on ly via the naso-vestibule-septum-sphenoid ap proach in group B(97cases),com bined the two ap proach and two times in group C(26cases).Results The to tal or subtotal re moval of group A,B,C re spectively were achieved in42cases(50.6%),21cases(2.1%),24cases(92.3%);died after opera tion re spec-tively were2cases(2.4%),1case(1.0%),0;diabetes insipidus re spectively were in51cases(61.4%),18cases(18.6%),11cases(42.3%)and hypothalamus damage re spectively were in26cases(31.3%),2cases,0;and cerebrospinal rhinorrhea re spectively were in0,27cases(27.8%),8cases(30.8%).The statis tical difference of the to tal re moval rate and in cidence of dia betes in sipidus is sig nificant (P0.01).Conclusion The micro surgical therapy that combined via the naso-vestibulo-sep tum-sphenoid approach and the pterional craniotomy two times can in crease the rate of to tal re moval of giant adenoma and decrease the mortality,recur rence and complication,thus it is safety and effec tive method.[
【CateGory Index】: R736.4
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【References】
Chinese Journal Full-text Database 1 Hits
1 Huang Lumao,Yong Chengming,Yang Daiming,Xuan Jialong,Xu Bing,Hu Zhenyu,Li Haiping,Yang Xiulun.Department of Neurosurgery,The First People's Hospital of Chaohu,Anhui 238000,China;Application of Micro-neurosurgical Technology in Operation of Sellar Tumor.[J];Anatomy and Clinics;2007-01
【Citations】
Chinese Journal Full-text Database 3 Hits
1 LIU Yun-sheng, YUAN Xian-rui,LIU Jing-ping, et al.(Department of Neurosurgery, Xiangya Hospital, Hunan Medical University, Changsha 410008, China);Transfrontal lateral approach for large and giant pituitary adenoma[J];CHINESE JOUNAL OF OTORHINOLARYNGOLOGY-SKULL BASE SURGERY;2000-03
2 Liu Yunsheng,Yuan Xianrui,Fang Jiasheng,etal Department of Neurosurgery,Xiangya Hospital, Neurology Institute,Hunan Medical University,Changsha,410008;AN OBSERVATION OF ABNORMAL VARIATIONS OF IMPORTANT STRUCTURES SURROUNDING THE LARGE AND HUGE PITUITARY ADENORMAS[J];CHINESE JOUNAL OF OTORHINOLARYNGOLOGY-SKULL BASE SURGERY;1998-04
3 Zhu Xian-li. et al. Department of Neurosurgery, Union Hospital of Tonji Medical University. Wuhan 430022;Microsurgical technique for total resection craniopharyngiomas[J];Chinese Journal of Neurosurgery;1992-01
【Co-references】
Chinese Journal Full-text Database 8 Hits
1 ZHANG Yong*, YIN Fang-ming, QU Wen-jun*, LI Zhi-chao*, LIN Jing-zhi*, CAI Jun*. *Department of Neurosurgery, Second People's Hospital of Guangdong Province, Guangzhou 510315, China;Clinical study on the microsurgery via the sphenoid sinus in the treatment of pituitary adenoma[J];Chinese Journal of Neuromedicine;2005-09
2 Xu Geng, Li Yuan, Shi dianbo, Xie Minqiang, Liu Xian, Zhang Gehua, Xu Rui;The exploration of cranial base surgery by endoscopic intranasal approach[J];;1998-04
3 LIU Zhi-xiong LIU Yun-sheng;Operation of Pituitary Adenomas[J];Continuing Medical Education;2006-13
4 AN Huiming, WANG Lihong, LIU Yafeng, et al. Department of Otorhinolaryngology, First University Hospital, West China University of Medical Sciences, Chengdu 610041, China;Endoscopic transnasal sphenoidal approach in hypophysectomy[J];CHINESE JOURNAL OF OTORHINOLARYNGOLOGY;2000-05
5 SUN Jingwu, YE Feichang, WANG Mingshan, et al. Department of Otorhinolaryngology, Anhui Provincial Hospital, Hefei, 230001, China;Trannasal-transsphenoidal endoscopic surgery of the sphenoid sinus and the sella turcica[J];CHINESE JOURNAL OF OTORHINOLARYNGOLOGY;2000-05
6 GUAN Shusen, YU Chunjiang, ZHU Anlin, et al. Department of Neurosurgery, Beijing Tiantan Hospital, Beijing 100050;Microsurgical treatment of sellar tumor by subfrontal transsphenoidal approach[J];CHINESE JOURNAL OF NEUROSURGERY;1999-05
7 WU Zhe bao, YU Chun jiang. Department of Neurosurgery, First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, China;Treatment of invasive giant prolactinomas with bromocriptine: results of long-term follow-up[J];Chinese Journal of Neurosurgery;2005-03
8 DAI Ru-fei,LIU Ning,ZHU Feng-yi,ZHAO Chun-sheng,ZHOU Ming-wei,CHEN Hai-feng.Department of Neurosurgery,the First Affliated Hospital,Nanjing Medical University,Nanjing 210029,China;Transoral-nosal-sphenoidal approach for removal of large pituitary adenomas[J];Chinese Journal of Microsurgery;2004-02
【Secondary References】
Chinese Journal Full-text Database 1 Hits
1 Zhao Xin-li,Zhou Guo-sheng,Zhou Wen-ke,Zhang Xin-zhong,Wang Zhong-wei,Wang Ming-sheng(Department of Neurosurgery,First Affiliated Hospital,Xinxiang Medical College,Weihui 453100,Henan Province,China);Comparison of medical adhesive gelatin sponge and bone piece with fatness and muscle fragment applied in pituitary adenoma operation passing sphenoid sinus[J];Journal of Clinical Rehabilitative Tissue Engineering Research;2007-22
【Secondary Citations】
Chinese Journal Full-text Database 4 Hits
1 Liu Yunsheng;Chen Shangcheng; Hou Yonghong;Jiang Weixi;Huang Yueming;Liu Jinping;Ma Zhiming ;Ma Jianrong,Yuan xianrui(Department of Neurosurgery, Xiangya Hospital, Hunan Medical University);COMBINED TRANSORBITAL-FRONTAL,ETHMOIDAL AND SPHENOID SINUSES-INTRACRANIAL APPROACH FOR SURGERY OF LARGE PITUITARY ADENOMAS[J];BULLETIN OF HUNAN MEDICAL UNIVERSITY;1994-04
2 Liu Yusheng, Yuan Xianrui, Liu Jinping, et al (Department of Neurosurgery, Xiangya Hospital, Hunan Medical University, Changsha 410008);A primary study of microanatomy on blood supplement of large and huge pituitary adenoma[J];BULLETIN OF HUNAN MEDICAL UNIVERSITY;1998-06
3 Liu Yunsheng,Yuan Xianrui,Fang Jiasheng,etal Department of Neurosurgery,Xiangya Hospital, Neurology Institute,Hunan Medical University,Changsha,410008;AN OBSERVATION OF ABNORMAL VARIATIONS OF IMPORTANT STRUCTURES SURROUNDING THE LARGE AND HUGE PITUITARY ADENORMAS[J];CHINESE JOUNAL OF OTORHINOLARYNGOLOGY-SKULL BASE SURGERY;1998-04
4 Liu Yunsheng, Chen Shancheng, Yuan Xianrui, et al. Department of Neurosurgery Xiang Ya Hospital, Changsha 410008;Microsurgery of large and huge pituitary adenomas by transorbitofrontosphenoidal combined approach[J];CHINESE JOURNAL OF NEUROSURGERY;1997-05
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