神经内镜下经鼻蝶治疗垂体肿瘤的研究进展

贾艳飞; 陈群帮; 侯睿哲; 赵兴利

doi:10.3969/j.issn.1000-8179.20130072

神经内镜下经鼻蝶治疗垂体肿瘤的研究进展

doi: 10.3969/j.issn.1000-8179.20130072

贾艳飞^{①, ③},
陈群帮^②,
侯睿哲^②,
赵兴利^②, ,

①.
兰州大学第二医院神经外科（兰州市730000）
②.
吉林大学中日联谊医院神经外二科

详细信息

通讯作者:
赵兴利 wulanchabumeng@yahoo.com.cn

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- 被引次数: 0
出版历程
- 收稿日期: 2013-01-11
- 修回日期: 2013-07-22

Research progress on endoscope-controlled surgery using the endonasal transsphenoidal approach for pituitary tumors

Yanfei JIA^{①, ③},
Qunbang CHEN^②,
Ruizhe HOU^②,
Xingli ZHAO^{②
, ,}

①.
Department of Neurosurgery, The Second Hospital of Lanzhou University, Lanzhou 730000, China
②.
The Second Department of Neurosurgery; China-Japan Union Hospital; Jilin University; Changchun 130031, China

More Information

Corresponding author: Xingli ZHAO; E-mail: wulanchabumeng@yahoo.com.cn

摘要

摘要: 神经內镜下垂体肿瘤切除术取代传统显微镜下经鼻蝶垂体瘤切除术，是使用经鼻內镜从正常生理鼻腔空隙直达蝶窦切除肿瘤的手术方法。神经内镜以其创伤小、术程短、术式简洁、术后恢复快等优点，逐渐成为治疗垂体肿瘤的首选手术方式。本文对目前国内外应用神经内镜治疗垂体肿瘤适应症、并发症、手术技巧、新技术的使用等相关临床进展进行综述，旨在能够更好的应用该技术以提高垂体肿瘤的手术治疗效果。
- 垂体肿瘤 /
- 神经内镜 /
- 脑脊液鼻漏 /
- 术后并发症
Abstract: Pituitary tumors are clinically common neoplasms involved in the central nervous system. The endoscopic endonasal approach is a safe and feasible technique for managing pituitary tumors. Endoscopic technology has been increasingly used in clinical practice because it results in limited nasal injury, decreased operating time and postoperative complications, and quick postoperative recovery. This study aims to evaluate the advantages and effectiveness of the endoscopic endonasal transsphenoidal approach for the removal of pituitary tumors. This approach should be further modified and optimized in clinical trials and practices.
- pituitary tumor /
- endoscopic endonasal approach /
- cerebrospinal fluid rhinorrhea /
- postoperative complication

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参考文献(29)

[1]	Jankowski R, Auque J, Simon C, et al. Endoscopic pituitary tumor surgery[J]. Laryngoscope, 1992, 102(2): 198-202.
[2]	O'Malley BW Jr, Grady MS, Gabel BC, et al. Comparison of endoscopic and microscopic removal of pituitary adenomas: single-surgeon experience and the learning curve[J]. Neurosurg Focus, 2008, 25(6): E10. doi: 10.3171/FOC.2008.25.12.E10
[3]	Higgins TS, Courtemanche C, Karakla D, et al. Analysis of transnasal endoscopic versus transseptal microscopic approach for excision of pituitary tumors[J]. Am J Rhinol, 2008, 22(6): 649-652. doi: 10.2500/ajr.2008.22.3246
[4]	Gondim JA, Almeida JP, Albuquerque LA, et al. Endoscopic endonasal approach for pituitary adenoma: surgical complications in 301 patients[J]. Pituitary, 2011, 14(2): 174-183. doi: 10.1007/s11102-010-0280-1
[5]	Tabaee A, Anand VK, Barrón Y, et al. Endoscopic pituitary surgery: a systematic review and meta-analysis[J]. J Neurosurg, 2009, 111(3): 545-554. doi: 10.3171/2007.12.17635
[6]	D'Haens J, Van Rompaey K, Stadnik T, et al. Fully endoscopic transsphenoidal surgery for functioning pituitary adenomas: a retrospective comparison with traditional transsphenoida microsurgery in the same institution[J]. Surg Neurol, 2009, 72(4): 336-340. doi: 10.1016/j.surneu.2009.04.012
[7]	Dhepnorrarat RC, Ang BT, Sethi DS. Endoscopic surgery of pituitary tumors[J]. Otolaryngol Clin North Am, 2011, 44(4): 923-935. doi: 10.1016/j.otc.2011.06.019
[8]	Lwu S, Edem I, Banton B, et al. Quality of life after transsphenoidal pituitary surgery: a qualitative study[J]. Acta Neurochir (Wien), 2012, 154(10): 1917-1922. doi: 10.1007/s00701-012-1455-5
[9]	Bella Z, Fülöp B, Csajbök E, et al. Endoscopic, posterior transseptal pituitary surgery-learning curve of the surgical technique and equipment in 61 operations[J]. Ideggyogy Sz, 2012, 65(7-8): 271-279.
[10]	Pasquini E, Zoli M, Frank G. Endoscopic endonasal surgery: new perspectives in recurrent and residual pituitary adenomas[J]. World Neurosurg, 2012, 77(3-4): 457-458. doi: 10.1016/j.wneu.2011.08.046
[11]	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. doi: 10.1016/j.wneu.2011.07.012
[12]	Cavallo LM, Solari D, Tasiou A, et al. Endoscopic endonasal transsphenoidal removal of recurrent and regrowing pituitary adenomas: experience on a 59 patients series[J]. World Neurosurg, 2012[Epub anend of print].
[13]	Min JY, Chung SK, Kim HY, et al. Clinical implications of rhinosinusitis detected by preoperative computed tomography for endoscopic endonasal transsphenoidal pituitary surgery[J]. Acta Otolaryngol, 2012, 132(Suppl 1): S32-36.
[14]	王嵩, 李牧, 王晨. 神经内镜与显微镜下老年患者经蝶垂体腺瘤切除术的比较[J]. 中国老年学杂志, 2012, 32(8): 1601-1603. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLXZ201208024.htm
[15]	Zuo KJ, Xu R, Lai YY, et al. Salvage management and subsequent treatment after internal carotid artery injury during transnasal endoscopic surgery[J]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2012, 47(7): 554-558.
[16]	Saito K, Toda M, Tomita T, et al. Surgical results of an endoscopic endonasal approach for clival chordomas[J]. Acta Neurochir (Wien), 2012, 154(5): 879-886. doi: 10.1007/s00701-012-1317-1
[17]	Komotar RJ, Starke RM, Raper DM, et al. Endoscopic endonasal compared with microscopic transsphenoidal and open transcranial resection of giant pituitary adenomas[J]. Pituitary, 2012, 15(2): 150-159. doi: 10.1007/s11102-011-0359-3
[18]	Oostra A, van Furth W, Georgalas C. Extended endoscopic endonasal skull base surgery: from the sella to the anterior and posterior cranial fossa[J]. ANZ J Surg, 2012, 82(3): 122-130. doi: 10.1111/j.1445-2197.2011.05971.x
[19]	Berker M, Hazer DB, Yücel T, et al. Complications of endoscopic surgery of the pituitary adenomas: analysis of 570 patients and review of the literature[J]. Pituitary, 2012, 15(3): 288-300. doi: 10.1007/s11102-011-0368-2
[20]	Esposito F, Cappabianca P. Neuroendoscopy: general aspects and principles[J]. World Neurosurg, 2013, 73(Suppl 2): S14.
[21]	Dias LA, Gebhard H, Mtui E, et al. The use of an ultraportable universal serial bus endoscope for education and training in neuroendoscopy[J]. World Neurosurg, 2013, 79(2): 337-340. doi: 10.1016/j.wneu.2012.06.018
[22]	Gaab MR. Neuroendoscopic training by low-priced universal serial bus endoscopes[J]. World Neurosurg, 2013, 79(2): 255-257. doi: 10.1016/j.wneu.2012.10.027
[23]	Litvack ZN, Zada G, Laws ER Jr. Indocyanine green fluorescence endoscopy for visual differentiation of pituitary tumor from surrounding structures[J]. J Neurosurg, 2012, 116(5): 935-941. doi: 10.3171/2012.1.JNS11601
[24]	衡立君, 赵继培, 王学廉, 等. 神经导航在内镜辅助垂体腺瘤切除术中的定位作用[J]. 中国微侵袭神经外科杂志, 2012, 17(11): 502-503. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWQX201211010.htm
[25]	Swearingen B. Update on pituitary surgery[J]. J Clin Endocrinol Metab, 2012, 97(4): 1073-1081. doi: 10.1210/jc.2011-3237
[26]	Wang YY, Thiryayi WA, Ramaswamy R, et al. Accuracy of surgeon's estimation of sella margins during endoscopic surgery for pituitary adenomas: verification using neuronavigation[J]. Skull Base, 2011, 21(3): 193-200. doi: 10.1055/s-0031-1275635
[27]	程岚, 曹荣萍, 孟国珍, 等. 计算机辅助导航技术在鼻窦及鼻颅底手术中的应用[J]. 临床耳鼻咽喉头颈外科杂志, 2012, 26(17): 796-798. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH201217012.htm
[28]	Al Kadah B, Bumm K, Charalampaki P, et al. First experience in endonasal surgery using a new 3D-Chipendoscope[J]. Laryngorhinootologie, 2012, 91(7): 428-433. doi: 10.1055/s-0032-1309051
[29]	Kari E, Oyesiku NM, Dadashev V, et al. Comparison of traditional 2-dimensional endoscopic pituitary surgery with new 3-dimensional endoscopic technology: intraoperative and early postoperative factors[J]. Int Forum Allergy Rhinol, 2012, 2(1): 2-8. doi: 10.1002/alr.20036