Objective: To discuss the clinical efficacy of endonosal transsphenoidal surgery under endoscope and microscope on the removal of pituitary adenomas and to summarize their advantages and disadvantages.Methods: 96 cases of patients with pituitary adenoma treated by endonasal transsphenoidal surgery from September 2014 to August 2016 were retrospectively analyzed, and divided into endoscope group (under endoscope, 50 cases) and microscope group (under microscope, 46 cases). The operation results were compared between the two groups.Results: There were no statistic differences in tumor resection rate, postoperative complication rate, and symptom relief between the two groups (P＞0.05). The intraoperative bleeding and intraoperative cerebrospinal fluid leakage in the endoscope group were lower than those in the microscope group (P＜0.05); the operation time (86.3±10.4)h and hospitalization time (6.1±0.9)d in the endoscope group were less than those in the microscope group (137.7±16.2)h, (12.3±1.2)d) (P＜0.05).Conclusion: The endonosal transsphenoidal surgery under endoscope and microscope can remove the tumor sufficiently. Endoscopic transsphenoidal surgery, with less suffering, faster recovery, should be widely spread, but microscopic surgery can not be completely replaced and the appropriate type of surgery should be selected based on different indications.
DONG Xiaohui
,
LOU Feiyun
. Clinical effects of microscopic and endoscopic approach on the resection of pituitary adenomas[J]. Journal of Baotou Medical College, 2017
, 33(9)
: 33
-34
.
DOI: 10.16833/j.cnki.jbmc.2017.09.013
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