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pituitary adenomas/PitNET: 25 年的经验对于垂体腺瘤的内镜内移植-转结核方法: 25 年的经验

Alessandro Carretta¹, Matteo Zoli^1,2, Federica Guaraldi²

¹Department of Bio-Medical and Neuromotor Sciences (DIBINEM), University of Bologna, 40138 Bologna, Italy.

|July 29, 2023

概括

内透视转移-转移结核 (ETTA) 方法为垂体腺瘤 (PAs) 提供了良好的结果,但患病率较高. 最好保留给某些不适合标准内镜手术的PA.

科学领域:

神经外科神经外科
内分泌学在内分泌学.
耳鼻喉科耳鼻喉科耳鼻喉科

背景情况:

对 pituitary adenomas (PAs) 的内镜转移-转移结核方法 (ETTA) 缺乏研究和辩论.
关于ETTA在治疗PA中的有效性和安全性的数据有限.

研究的目的:

评估机构对PA的ETTA的经验.
分析手术结果,并发症和成功预测因素.

主要方法:

在1998年至2022年期间,对57名接受PASETTA的患者进行了回顾性审查.
分析基切除率,脑脊液 (CSF) 泄漏率和视野缺陷改善.
统计分析以确定部分切除和CSF泄漏的预测因素.

主要成果:

在57.9%的病例中实现了彻底切除;重复手术和血管封闭预测了部分切除.
脑液泄漏发生率为8.8%,较高的BMI作为预测因素.
73.5%的患者经历了视野缺陷的改善;没有发生手术死亡.

结论:

ETTA为PAS提供了令人满意的外科治疗结果,但患病率高于传统的内镜方法.
对于某些不适合用于标准内镜跨形手术的PA来说,ETTA是一种有价值的替代方案.
对于具有挑战性的PAS,ETTA是跨外科手术的有效补充途径.

关键词:

这是一个PitNET,一个PitNET.并发症可能导致并发症.内镜内表面的内表面的扩展扩展扩展扩展结果结果结果结果.下垂体腺瘤的前列腺瘤.跨平面 (transplanum) 是一个跨平面.这种病名为 transtuberculum.

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相关概念视频

The Pituitary Gland

The Pituitary Gland

The pituitary is a small endocrine organ in the sphenoid bone under the hypothalamus. Primarily, the pituitary in adults has two distinct anatomical and functional regions— the anterior and posterior lobes. During human fetal development, a third pituitary gland region called the pars intermedia atrophies and disappears. However, some of its cells migrate and exist adjacent to the anterior pituitary in adults.